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Individual

IGOR KUTIN

Active
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Individual

IGOR KUTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02950300
NJ
122300000X
Dentist
D-11984
OR
122300000X
Dentist
Primary
D-5480
ID
122300000X
Dentist
DGD9990
SC
122300000X
Dentist
DN26171
FL
1223G0001X
General Practice Dentistry
019035567
IL
1223G0001X
General Practice Dentistry
Primary
D-5480
ID

Other

Enumeration date
07/09/2021
Last updated
05/25/2026
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