Suzanne U Mccormick, MS, DDS Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Encinitas, CA

NPI

1962554428

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

50704 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-17

Last updated

2007-07-08