SUSAN GLENN CADDELL

TAVARES, FL
NPI1205843620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  9436)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
Dr. SUSAN GLENN CADDELL D.D.S.
109 W MAIN ST
TAVARES, FL 32778-3809
Phone number: 352-343-2821
Mailing Address
Dr. SUSAN GLENN CADDELL D.D.S.
PO BOX 677
TAVARES, FL 32778-0677
Phone number: 352-343-2821