# DR. DAMJAN JUTRIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083097299
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 31161 | TX | — |
| 122300000X | Dentist | DE60729364 | WA | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 03/10/2021
