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Organization
JOHN S. SUTHERLAND DDS ,INC
Active
Organization
JOHN S. SUTHERLAND DDS ,INC
Active
Other names
John S. Sutherland DDS
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDEL RENEE SUTHERLAND OWNER (CFO)
(206) 718-5656
Entity
Organization
Contact information
Practice address
3855 CHURN CREEK RD, REDDING, CA 96002-3229
(530) 243-9425
Mailing address
705 RIVERCREST PKWY, REDDING, CA 96002-3544
(530) 222-4951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306127915
MARK LEWIS
CA
01
—
1396924437
JOHN SUTHERLAND
CA
Enumeration date
05/03/2019
Last updated
05/03/2019
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