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1841944147
SUTER OREGON LLC
AUSTIN, TX
NPI
1841944147
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Entity Type
Organization
Authorized Contact
BENJAMIN TIGGELAAR
Authorized Agent
866-988-4504
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
SUTER OREGON LLC
5555 N LAMAR BLVD STE H125
AUSTIN, TX 78751-1096
Phone number: 866-988-4504
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Mailing Address
SUTER OREGON LLC
5555 N LAMAR BLVD STE H125
AUSTIN, TX 78751-1096
Phone number: 866-988-4504
Copy
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