Organization
DANNON W SUTHERLAND DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNON SUTHERLAND D.M.D (OWNER)
(504) 361-5367
Entity
Organization
Contact information
Practice address
307 GRETNA BLVD STE A, GRETNA, LA 70053-4994
(504) 361-5367
(504) 368-4846
Mailing address
307 GRETNA BLVD STE A, GRETNA, LA 70053-4994
(504) 361-5367
(504) 368-4846
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6506
LA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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