Individual
DR. DANNON WAYNE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
238 BROOKLEY AVE SW, JOINT BASE ANACOSTIA, BOLLING AFB, DC 20032-7704
(202) 767-5382
Mailing address
238 BROOKLEY AVE SW, JOINT BASE ANACOSTIA, BOLLING AFB, DC 20032-7704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5845
AL
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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