DR. Chad Bricker Susott, D.D.S
NPI #1639427941 in Iron Mountain, Michigan
Provider Information
- NPI Number
- 1639427941
- Entity Type
- Individual
- Name
- DR. Chad Bricker Susott, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Aug 16, 2012
- Last Updated
- Aug 16, 2012
Practice Location
- Address
- 325 E H ST
- Address 2
- DENTAL CLINIC
- City
- Iron Mountain
- State
- Michigan
- ZIP Code
- 49801-4760
- Phone
- (906) 774-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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