Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6085 | KS |
N | 122300000X | Dentist | 63282 | CA |
N | 1223D0001X | Dental Public Health | 6085 | KS |
NPI | 1255365532 |
---|---|
Provider Name | Mrs. Suzanne Kay Saville |
First Address | Guerneville, CA 95446 |
Second Address | Guerneville, CA 95446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 16/09/2014 |