Most Relevant Information
Provider Data
| NPI Number: | 1003010190 |
| Provider Name: | SUSAN G. DRAGOO RDHAP |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 180 |
Most Important Dates
| Enumeration Date: | 06/12/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
28833 GUNTER RD
RANCHO PALOS VERDES
CA
902752039
Practice Location Phone/Fax
| Phone: | 3108479293 |
| Fax: | 3108310575 |
Provider Mailing Location
28833 GUNTER RD
RANCHO PALOS VERDES
CA
902752039
Provider Mailing Phone/Fax
| Phone: | 3108479293 |
| Fax: | 3108310575 |