DR. Phillip Barry Surosky, D.D.S.

NPI #1851422893 in Glyndon, Maryland

Provider Information

NPI Number: 1851422893
Entity Type: Individual
Name: DR. Phillip Barry Surosky, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 9, 2007
Last Updated: Oct 1, 2012

Practice Location

Address: 4821 BUTLER ROAD
Address 2: 2B
City: Glyndon
State: Maryland
ZIP Code: 21071
Phone: (410) 833-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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