Therese Susienka Dmd Pllc

NPI #1174972749 in Sutton, Massachusetts

Provider Information

NPI Number: 1174972749
Entity Type: Organization
Organization Name: Therese Susienka Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 6, 2016
Last Updated: Jun 6, 2016

Practice Location

Address: 22 GALAXY PASS
Address 2: UNIT A
City: Sutton
State: Massachusetts
ZIP Code: 01590-4836
Phone: (508) 372-0019

Authorized Official

Name: DR. THERESE C SUSIENKA, DMD
Title: DENTIST
Phone: (603) 860-8491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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