KENTON A SUSOTT

INDIANAPOLIS, IN
NPI1821208166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN  12006912A)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Dr. KENTON A SUSOTT DDS, MSD
3916 SHORE DR
INDIANAPOLIS, IN 46254-2604
Phone number: 317-299-9506
Mailing Address
Dr. KENTON A SUSOTT DDS, MSD
3916 SHORE DR
INDIANAPOLIS, IN 46254-2604
Phone number: 317-299-9506
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