Pauline Susanto, D.D.S

NPI 1063626976 · on the registry since 2007 · sole proprietor

Practice

Address: 2555 Ocean Ave Ste 204
San Francisco, CA 94132
Phone: (415) 337-9009
Fax: (844) 273-9010
Organisation at this address: Philip B. Sanfilippo Ii, Dpm
Kyung R. Lee, Md & Kesook Lee, Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California