NPI | 1346950797 |
---|---|
Doing Business As | T SHAUN SUTHERLAND DDS AND RUMA NOVOTNY DDS |
Entity Type | Organization |
Authorized Contact | KAYLA BENNETT Office Manager 307-234-6033 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-11-28 |
Last Update Date | 2022-11-28 |