Individual
DR. EDWIN E SUTHERLAND II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
1605 S SANGRE RD, STILLWATER, OK 74074-1847
(405) 533-1555
Mailing address
1605 S SANGRE RD, STILLWATER, OK 74074-1847
(405) 533-1555
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5390
OK
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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