Individual
JON K SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
68 ACADEMY ST, LIBERTY, NY 12754-4705
(845) 292-8022
(845) 292-3153
Mailing address
68 ACADEMY ST, LIBERTY, NY 12754-4705
(845) 292-8022
(845) 292-3153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040143
NY
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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