Provider Demographics
NPI:1730305723
Name:KAY, SUSANA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUSANA
Middle Name:E
Last Name:KAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7630 E CHAPMAN AVE
Mailing Address - Street 2:#A
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869
Mailing Address - Country:US
Mailing Address - Phone:714-997-8497
Mailing Address - Fax:714-997-0269
Practice Address - Street 1:7630 E CHAPMAN AVE
Practice Address - Street 2:#A
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869
Practice Address - Country:US
Practice Address - Phone:714-997-8497
Practice Address - Fax:714-997-0269
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28733122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist