Dr. Susan P Eddleman | |
204 S Main St Rock Port MO 64482-1532 | |
(660) 744-5391 | |
(660) 744-5301 |
Full Name | Dr. Susan P Eddleman |
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Speciality | Clinic/center - Dental |
Location | 204 S Main St, Rock Port, Missouri |
Authorized Official Name and Position | Susan Eddleman (DENTIST) |
Authorized Official Contact | 6607445391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Susan P Eddleman 204 S Main St Po Box 282 Rock Port MO 64482-1532 Ph: (660) 744-5391 | Dr. Susan P Eddleman 204 S Main St Rock Port MO 64482-1532 Ph: (660) 744-5391 |
NPI Number | 1518298231 |
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Provider Enumeration Date | 01/20/2010 |
Last Update Date | 01/20/2010 |
Identifier | Type | State | Issuer |
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1518298231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 14169 (Missouri) | Primary |