Individual
DR. T SHAUN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1653 E 2ND ST, CASPER, WY 82601
(307) 274-6033
(307) 234-6053
Mailing address
1653 E 2ND ST, CASPER, WY 82601
(307) 274-6033
(307) 234-6053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
879
WY
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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