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Su Maddy, DMD
NPI 1639854276 · on the registry since 2023 · sole proprietor
Practice
- Address
- 821 Lexington Rd
Clovis, NM 88101 - Phone
- (575) 762-2355
- Organisation at this address
- Summit Imaging Llc
Summit Imaging Llc
Jeremy W Burgin, DdsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-12
- Status
- Not present in the most recent federal file
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 New Mexico