Dr. Susan P Eddleman

NPI #1518298231 in Rock Port, Missouri

Provider Information

NPI Number: 1518298231
Entity Type: Organization
Organization Name: Dr. Susan P Eddleman
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 204 S MAIN ST
City: Rock Port
State: Missouri
ZIP Code: 64482-1532
Phone: (660) 744-5391

Authorized Official

Name: DR. SUSAN EDDLEMAN, DDS
Title: DENTIST
Phone: (660) 744-5391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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