Organization
THERESE SUSIENKA DMD PLLC
Active
Other names
Pleasant Valley Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE C SUSIENKA DMD (DENTIST)
(603) 860-8491
Entity
Organization
Contact information
Practice address
22 GALAXY PASS, UNIT A, SUTTON, MA 01590-4836
(508) 372-0019
Mailing address
22 GALAXY PASS, UNIT A, SUTTON, MA 01590-4836
(508) 372-0019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1856547
MA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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