Susan Wright Mongeau DDS, MPH

NPI 1073767117 - Dentist - 1223D0001X

NPI Details
NPI 1073767117
Gender Female
Enumeration Date 11/14/2008
Last Updated 11/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2200 BERGQUIST DR STE 1
LACKLAND AFB TX, 78236-9908, US
Phone (210) 925-1846
Fax
Business Location
2200 BERGQUIST DR STE 1
LACKLAND AFB TX, 78236-9908, US
Phone
Fax
Toxanomy
Taxonomy Code 1223D0001X
License State Florida
License Number DN11320
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According to our database, Dr. Susan Wright Mongeau DDS, MPH NPI is 1073767117, taxonomy code is 1223D0001X and license number is DN11320, license state is located at Florida. Susan Wright Mongeau DDS, MPH physically located at 2200 Bergquist Dr Ste 1, Lackland Afb TX, 78236-9908. NPI Number Susan Wright Mongeau DDS, MPH has the Individual type.

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1073767117 NPI number is provided on an as is basis without warranty of any kind. 1073767117 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Wright Mongeau DDS, MPH are for informational purposes only.