DR. Peter B. Susanin, DDS

NPI #1528191657 in Devon, Pennsylvania

Provider Information

NPI Number: 1528191657
Entity Type: Individual
Name: DR. Peter B. Susanin, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 227 W LANCASTER AVE
City: Devon
State: Pennsylvania
ZIP Code: 19333-1555
Phone: (610) 687-0339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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