Cristiano Susin DDS

NPI 1841507928 - Dentist - 1223P0300X

NPI Details
NPI 1841507928
Gender Male
Enumeration Date 09/09/2010
Last Updated 09/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1120 15TH ST # AD1430
MCG SCHOOL OF DENTISTRY DEPT PERIODONTICS
AUGUSTA GA, 30912-0004, US
Phone (706) 241-2441
Fax (706) 721-2441
Business Location
1120 15TH ST # AD1430
MCG SCHOOL OF DENTISTRY DEPT PERIODONTICS
AUGUSTA GA, 30912-0004, US
Phone (706) 241-2441
Fax (706) 721-2441
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number CRORS11637
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According to our database, Dr. Cristiano Susin DDS NPI is 1841507928, taxonomy code is 1223P0300X and license number is CRORS11637, license state is located at . Cristiano Susin DDS physically located at 1120 15th St # Ad1430, Augusta GA, 30912-0004. NPI Number Cristiano Susin DDS has the Individual type.

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1841507928 NPI number is provided on an as is basis without warranty of any kind. 1841507928 is maintained by the National Plan & Provider Enumeration System. The contents of Cristiano Susin DDS are for informational purposes only.