Individual
SUSAN CLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 E JULIAN ST, SAN JOSE, CA 95112-4007
(408) 918-2600
Mailing address
19146 COZETTE LN, CUPERTINO, CA 95014-3538
(408) 873-8237
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
44662
CA
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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