Individual provider · Type 1 NPI
Linda R. Suralie, DDS
Periodontics · Phila, PA
NPI number
1629292529
Active
Practice location
7156 Stenton Ave
Phila, PA 19150-3428
Fax (215) 242-1171
Mailing address
7715 Crittenden St, #336
Phila, PA 19118-4421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS029075-L (PA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1629292529
Linda R. Suralie, DDS's National Provider Identifier is 1629292529, issued on Apr 12, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Phila, PA. The record was last updated on Jul 8, 2007.