| NPI | 1467861799 |
|---|---|
| Former Name | SUZANNE ARLENE SISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: GU D904) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GU D904) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-06-26 |