NPI | 1295860690 |
---|---|
Former Legal Business Name | DUDLEY C CHANDLER DDS & W MARK SUTTLE DDS PA |
Former Legal Business Name | W MARK SUTTLE DDS MS PA |
Entity Type | Organization |
Authorized Contact | WILLIAM MARK SUTTLE President/Owner 336-765-9224 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 6929) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2021-03-05 |