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Individual

DR. DAVID PORTER SUTTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15 WEST FIRST NORTH, DOWNEY, ID 83234
(208) 897-5000
(208) 897-5055
Mailing address
15 WEST 1ST NORTH, DOWNEY, ID 83234
(208) 897-5000
(208) 897-5055

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1343
ID

Other

Enumeration date
03/06/2006
Last updated
07/08/2007
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