Individual
DR. CHARLES SUTERA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
75 3RD AVE, WALTHAM, MA 02451-7549
(781) 487-1111
Mailing address
20 ROOSEVELT RD, MEDFORD, MA 02155-2519
(978) 314-8974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN4207
ME
1223G0001X
General Practice Dentistry
Primary
DN1855853
MA
Other
Enumeration date
08/02/2011
Last updated
12/22/2018
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