| NPI | 1679640312 |
|---|---|
| Professional Name | M. SUZANNE AHNQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS039280) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 6029) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2015-05-12 |