Individual
DR. GLENN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3140 PIMLICO PKWY STE 105, LEXINGTON, KY 40517-4007
(859) 273-5020
Mailing address
3140 PIMLICO PKWY STE 105, LEXINGTON, KY 40517-4007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5455
KY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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