Individual
DR. GREG W. SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., P.S.
Contact information
Practice address
210 4TH AVE SW, PUYALLUP, WA 98371-5863
(253) 848-4537
(253) 841-0792
Mailing address
210 4TH AVE SW, PUYALLUP, WA 98371-5863
(253) 848-4537
(253) 841-0792
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
025103DE0004801
WA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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