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1316082464
THEODORE SEYENA SUSU
POUGHKEEPSIE, NY
NPI
1316082464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 050398)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Mr. THEODORE SEYENA SUSU DDS
695 DUTCHESS TURNPIKE STE. 104
POUGHKEEPSIE, NY 12603
Phone number: 845-471-8855
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Mailing Address
Mr. THEODORE SEYENA SUSU DDS
695 DUTCHESS TPKE STE 104
POUGHKEEPSIE, NY 12603-6443
Phone number: 845-471-8855
Copy
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