MELISA SUSANTO, DDS

DDS

Pediatric Dentistry

NPI: 1396044517Individual

Specialties, Licenses & Credentials

General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

2901020349(MI)

Pediatric DentistryPrimary

Dentist — Pediatric Dentistry

Code: 1223P0221X

DE60481607(WA)

Contact & Hours

Address: 16810 MERIDIAN E, SUITE J104
PUYALLUP, WA 98375
Phone: (626) 241-2669

Quick Facts

NPI: 1396044517
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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