DR. Susan Renee Deters, D.D.S.

NPI #1497896179 in Jenison, Michigan

Provider Information

NPI Number: 1497896179
Entity Type: Individual
Name: DR. Susan Renee Deters, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1864 GEORGETOWN CENTER DR
City: Jenison
State: Michigan
ZIP Code: 49428-7137
Phone: (616) 457-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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