Susan J Sup, DDS
NPI #1093857799 in Grantsburg, Wisconsin
Provider Information
- NPI Number
- 1093857799
- Entity Type
- Individual
- Name
- Susan J Sup, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Oct 1, 2025
Practice Location
- Address
- 302 S PINE ST
- City
- Grantsburg
- State
- Wisconsin
- ZIP Code
- 54840-7930
- Phone
- (315) 657-2719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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