NPI | 1629127949 |
---|---|
Other Name | PJ SUTTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5154028-9922) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE000098887) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |