Organization
RAELYN N SUTTON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAELYN NYLUND SUTTON DMD (PRESIDENT)
(541) 476-9792
Entity
Organization
Contact information
Practice address
828 NE A ST, GRANTS PASS, OR 97526
(541) 476-9792
(541) 955-4512
Mailing address
828 NE A ST, GRANTS PASS, OR 97526
(541) 476-9792
(541) 955-4512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4986
OR
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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