Nathan Suter DDS PLLC
Clinic/Center, Dental in Kent, WA. Organization (NPI-2).
NPI number1821753013
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1821753013
- Entity type
- Organization (NPI-2)
- Legal business name
- Nathan Suter DDS PLLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2021
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Enable Dental (Doing Business As)
Practice location
19011 68th Ave SSte A100
Kent, WA 98032-2108
Phone 512-861-1337 · Fax 866-815-3719
Mailing address
5555 N Lamar BlvdSte H125
Austin, TX 78751
Phone 512-861-1337 · Fax 866-815-3719
Authorized official
Benjamin Tiggelaar
Authorized Agent
5129804648
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