Individual
DR. MARK DAVID SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 HILBORN RD STE 300, SUITE 300, FAIRFIELD, CA 94534-7996
(707) 425-5511
(707) 425-5522
Mailing address
3700 HILBORN RD STE 300, SUITE 300, FAIRFIELD, CA 94534-7996
(707) 425-5511
(707) 425-5522
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0313477
DENTAL INSURANCE
CA
Enumeration date
01/18/2011
Last updated
10/25/2016
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