Individual
THERESE COMEAU SUSIENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22 GALAXY PASS, UNIT A, SUTTON, MA 01590-4836
(508) 372-0019
Mailing address
22 GALAXY PASS, SUTTON, MA 01590-4836
(508) 372-0019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856547
MA
Other
Enumeration date
06/25/2014
Last updated
07/23/2016
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