DR. Suthanya Srisuro, D.D.S., M.S.

NPI #1982829289 in Godfrey, Illinois

Provider Information

NPI Number: 1982829289
Entity Type: Individual
Name: DR. Suthanya Srisuro, D.D.S., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.D.S., M.S.
Enumeration Date: Apr 13, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 3011 GODFREY RD
City: Godfrey
State: Illinois
ZIP Code: 62035-1808
Phone: (618) 466-7966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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Dr. Kimberly D. Haug, PC Part of Dr. Kimberly D. Haug, PC	Dentist - Orthodontics and Dentofacial Orthopedics	Godfrey	AI Deep Dive

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