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Individual

DR. DOUGLAS P SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1598 DELPHIC WAY, SUITE C-1, POCATELLO, ID 83201-2285
(208) 637-1399
Mailing address
1598 DELPHIC WAY, SUITE C-1, POCATELLO, ID 83201-2285
(208) 637-1399

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D-3209
ID

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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