Organization
CASEY D. SUTHERLAND, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY D SUTHERLAND DMD (OWNER)
(509) 687-9221
Entity
Organization
Contact information
Practice address
160 WAPATO WAY, MANSON, WA 98831
(509) 687-9221
(509) 687-9201
Mailing address
PO BOX 405, MANSON, WA 98831-0405
(509) 687-9221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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