| Raelyn N Sutton Dmd Pc | |
|
828 Ne A St Grants Pass OR 97526 | |
| (541) 476-9792 | |
| (541) 955-4512 |
| Full Name | Raelyn N Sutton Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 828 Ne A St, Grants Pass, Oregon |
| Authorized Official Name and Position | Raelyn Nylund Sutton (PRESIDENT) |
| Authorized Official Contact | 5414769792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raelyn N Sutton Dmd Pc 828 Ne A St Grants Pass OR 97526 Ph: (541) 476-9792 | Raelyn N Sutton Dmd Pc 828 Ne A St Grants Pass OR 97526 Ph: (541) 476-9792 |
| NPI Number | 1811155674 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811155674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4986 (Oregon) | Primary |
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