Suter Massachusetts PLLC
Clinic/Center, Dental in Westborough, MA. Organization (NPI-2).
NPI number1609623149
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1609623149
- Entity type
- Organization (NPI-2)
- Legal business name
- Suter Massachusetts PLLC
- Organization subpart
- No
- Enumeration date
- May 2, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Enable Dental INC. (Doing Business As)
Practice location
57 E Main St Ste 203Westborough, MA 01581-1445
Phone 866-988-4504 · Fax 866-815-3719
Mailing address
5555 N Lamar Blvd Ste H125Austin, TX 78751-1096
Phone 866-988-4504 · Fax 866-815-3719
Other practice locations
5555 N Lamar Blvd Ste H125
Austin, TX 78751-1096
Austin, TX 78751-1096
Phone 866-988-4504 · Fax 866-815-3719
Authorized official
Amy Christy-Duncan
Director Of Revenue
7377872049
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