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Sutherlin Dental
Dental Clinic/Center in Sutherlin, Oregon
NPI 1043456403

Sutherlin Dental is a Dental Clinic/Center based in Sutherlin, OR and is specialized in Dental. Sutherlin Dental practices in Sutherlin, OR. The NPI Number for Sutherlin Dental is 1043456403 and holds a License No. D6919 (Oregon).

The current practice location address for Sutherlin Dental is 115 N State St, Sutherlin, OR and can be reached out via phone at 541-459-4612 and via fax at 541-459-4911.

Location: 115 N State St, Sutherlin, OR, 97479-0719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043456403
Provider Name
Sutherlin Dental
Credential
Provider Entity Type
Organization
Address
115 N State St, Sutherlin, OR, 97479-0719
Phone Number
541-459-4612
Fax Number
541-459-4911
Provider Enumeration Date
01/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 N State St
City
Sutherlin
State
Oregon
Zip
97479-9807
Phone Number
541-459-4612
Fax Number
541-459-4911
person
Provider Business Mailing Address Details
Address
115 N State St
City
Sutherlin
State
Oregon
Zip
97479-9807
Phone Number
541-459-4612
Fax Number
541-459-4911
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D6919 (Oregon)
Definition
Definition to come...
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