Organization
SUTER OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TIGGELAAR (AUTHORIZED AGENT)
(866) 988-4504
Entity
Organization
Contact information
Practice address
5555 N LAMAR BLVD, STE H125, AUSTIN, TX 78751-1096
(866) 988-4504
Mailing address
5555 N LAMAR BLVD, STE H125, AUSTIN, TX 78751-1096
(866) 988-4504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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