Dr. Suthanya Srisuro, DDS, MS
Dr. Suthanya Srisuro, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Godfrey, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
Practice location Address checks out
3011 Godfrey RdGodfrey, IL 62035-1808
Phone: (618) 466-7966
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Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 21000857 (IL) |
|---|
Record details
| NPI number | 1982829289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DDS , MS |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2007 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 1616 Frontenac Woods Ct, Saint Louis, MO 63131-3428 |
Other providers in Godfrey
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Dr Kimberly D. Haug, PC
3011 Godfrey Rd, Godfrey, IL 62035-1808 · (618) 466-7966