| Melisa Susanto, DDS | |
|
16810 Meridian E, Suite J104, Puyallup, WA 98375-9604 | |
| (626) 241-2669 | |
| Not Available |
| Full Name | Melisa Susanto |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16810 Meridian E, Puyallup, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396044517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901020349 (Michigan) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DE60481607 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Melisa Susanto, DDS 16810 Meridian E, Suite J104, Puyallup, WA 98375-9604 Ph: (626) 241-2669 | Melisa Susanto, DDS 16810 Meridian E, Suite J104, Puyallup, WA 98375-9604 Ph: (626) 241-2669 |
Angela Leigh Dunn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8012 112th Street Ct E, Suite #320, Puyallup, WA 98373 Phone: 253-848-2331 Fax: 253-840-4033 | |
Dr. Philip Werner Kaiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16810 Meridian E, Suite J107, Puyallup, WA 98375 Phone: 253-848-7777 | |
Dr. Gibran Hyder, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8012 112th Street Ct E Ste 320, Puyallup, WA 98373 Phone: 253-848-2331 | |
Dr. Theressa Mah, DMD Dentist Medicare: Medicare Enrolled Practice Location: 10228 156th St E Ste 101, Puyallup, WA 98374 Phone: 253-840-0540 | |
Dr. Ching Ju Chuang, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 Phone: 253-200-0695 | |
Dr. Violeta Atanasova Stoyanova, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12005 Meridian E Ste 102, Puyallup, WA 98373 Phone: 253-214-9293 | |
Nicolette Ann Hecita Bulaon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 16810 Meridian E Ste J107, Puyallup, WA 98375 Phone: 253-848-7777 |