Individual
BEN A. SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4734 RIVER RD N, KEIZER, OR 97303-4536
(503) 463-4663
(503) 463-4666
Mailing address
4734 RIVER RD N, KEIZER, OR 97303-4536
(503) 463-4663
(503) 463-4666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8728
OR
Other
Enumeration date
11/22/2006
Last updated
11/19/2010
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