Melisa Susanto, DDS is a pediatric dentistry dentist in Puyallup, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Melisa Susanto, DDS NPI is 1396044517. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
16810 MERIDIAN E
SUITE J104
PUYALLUP, WA
ZIP 98375-604
Phone: (626) 241-2669
The NPI 1396044517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/28/2011 and was last updated on 7/28/2014.