Search › Massachusetts › 1223G0001X
Charles Sutera, DMD
NPI 1295013662 · on the registry since 2011
Practice
- Address
- 75 3rd Ave
Waltham, MA 02451 - Phone
- (781) 487-1111
- Organisation at this address
- Aesthetic Smile Reconstruction Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 171 Maine Mall Rd, South Portland, ME
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- ME, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts