Individual
DR. SUZANNE U MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, DDS
Contact information
Practice address
355 SANTA FE DR, SUITE100, ENCINITAS, CA 92024-5132
(760) 753-5300
Mailing address
355 SANTA FE DR, SUITE100, ENCINITAS, CA 92024-5132
(760) 753-5300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
042762
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2867
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
50704
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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