Search › Idaho › 176B00000X
Patricia Sutherland
NPI 1376019547 · on the registry since 2018 · sole proprietor
Practice
- Address
- 622 Center St W
Kimberly, ID 83341 - Phone
- (208) 490-0203
- Organisation at this address
- Infinity Dental Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho