Sukotjo, Cortino
Sukotjo, Cortino is an sole proprietor health care provider with primary practice located at 188 Longwood Ave , Boston MA 02115-5819. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Sukotjo, Cortino can be contacted via phone (617) 432-1486.Contact Information
Primary practice address
188 Longwood Ave
Boston MA 02115-5819
Phone: (617) 432-1486
Fax: (617) 432-0901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Prosthodontics | 1223P0700X | 9133 | Massachusetts |
Profile Details
NPI number | 1962606640 |
---|---|
LBN Legal business name | Sukotjo, Cortino |
Credentials | DDS, PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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