Individual
DR. MARK A SUTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
379 S PARK RIDGE RD, BLOOMINGTON, IN 47401-8574
(812) 333-4550
(812) 333-5789
Mailing address
379 S PARK RIDGE RD, BLOOMINGTON, IN 47401-8574
(812) 333-4550
(812) 333-5789
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12009269
IN
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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