Duane Mathew Sushoreba, D.D.S.

NPI #1689649386 in Cook, Minnesota

Provider Information

NPI Number: 1689649386
Entity Type: Individual
Name: Duane Mathew Sushoreba, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 20 5TH ST SE
City: Cook
State: Minnesota
ZIP Code: 55723-9702
Phone: (218) 666-5958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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