Raelyn N Sutton Dmd PC

NPI #1811155674 in Grants Pass, Oregon

Provider Information

NPI Number: 1811155674
Entity Type: Organization
Organization Name: Raelyn N Sutton Dmd PC
Primary Specialty: Dentist
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 828 NE A ST
City: Grants Pass
State: Oregon
ZIP Code: 97526
Phone: (541) 476-9792

Authorized Official

Name: DR. RAELYN NYLUND SUTTON, DMD
Title: PRESIDENT
Phone: (541) 476-9792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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