DR. Mysore S Suresh, D.D.S

NPI #1073578845 in Mesa, Arizona

Provider Information

NPI Number
1073578845
Entity Type
Individual
Name
DR. Mysore S Suresh, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Apr 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1830 S ALMA SCHOOL RD
Address 2
#136
City
Mesa
State
Arizona
ZIP Code
85210-3056
Phone
(480) 491-0404

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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