NPI | 1700295771 |
---|---|
Doing Business As | SUSAN L ROYER DDS PC |
Entity Type | Organization |
Authorized Contact | SUSAN ROYER Owner/CEO 219-663-4024 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12009289) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IL 019022078) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2014-08-04 |