| Dannon W Sutherland Dmd Llc | |
|
307 Gretna Blvd Ste A Gretna LA 70053-4994 | |
| (504) 361-5367 | |
| (504) 368-4846 |
| Full Name | Dannon W Sutherland Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 307 Gretna Blvd Ste A, Gretna, Louisiana |
| Authorized Official Name and Position | Dannon Sutherland (OWNER) |
| Authorized Official Contact | 5043615367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dannon W Sutherland Dmd Llc 307 Gretna Blvd Ste A Gretna LA 70053-4994 Ph: (504) 361-5367 | Dannon W Sutherland Dmd Llc 307 Gretna Blvd Ste A Gretna LA 70053-4994 Ph: (504) 361-5367 |
| NPI Number | 1992106272 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992106272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6506 (Louisiana) | Primary |
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