Individual
DR. SUSAN K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2925 PREMIERE PARKWAY, SUITE 165, DULUTH, GA 30097
(678) 417-9656
Mailing address
2925 PREMIERE PARKWAY, SUITE 165, DULUTH, GA 30097
(678) 417-9656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10853
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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