Casey D. Sutherland, Dmd, Pllc | |
160 Wapato Way Manson WA 98831 | |
(509) 687-9221 | |
(509) 687-9201 |
Full Name | Casey D. Sutherland, Dmd, Pllc |
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Speciality | Dentist |
Location | 160 Wapato Way, Manson, Washington |
Authorized Official Name and Position | Casey D Sutherland (OWNER) |
Authorized Official Contact | 5096879221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Casey D. Sutherland, Dmd, Pllc Po Box 405 Manson WA 98831-0405 Ph: (509) 687-9221 | Casey D. Sutherland, Dmd, Pllc 160 Wapato Way Manson WA 98831 Ph: (509) 687-9221 |
NPI Number | 1841746427 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 09/01/2016 |
Identifier | Type | State | Issuer |
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1841746427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |