Suffolk Dental, PC
Dentist, General Practice in Fort Worth, TX. Organization (NPI-2).
NPI number1730534603
StatusActive
Last updated in NPPESApr 28, 2016
Details
- NPI
- 1730534603
- Entity type
- Organization (NPI-2)
- Legal business name
- Suffolk Dental, PC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2016
- Last updated
- Apr 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
550 Alta Mere DrFort Worth, TX 76114-4053
Phone 781-400-5920
Mailing address
85 Franklin StNeedham, MA 02494-2939
Phone 781-400-5920
Authorized official
Rushabh J Doshi
President
7814005920
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