Individual
JONATHAN W SUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 N. 4TH STREET, OKARCHE, OK 73762-0796
(405) 263-7603
Mailing address
PO BOX 796, OKARCHE, OK 73762-0796
(405) 263-7603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK7168
OK
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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