Susalla, Nicole

Susalla, Nicole is an individual health care provider with primary practice located at 1342 Venice St , Dearborn MI 48124-4062. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Susalla, Nicole can be contacted via phone (313) 645-9209.

Contact Information

Primary practice address
1342 Venice St Dearborn MI 48124-4062
Phone: (313) 645-9209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3926143 Michigan

Profile Details

NPI number 1659746568
LBN Legal business name Susalla, Nicole
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2015
Last updated Dec 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers