Individual
MR. KENT DARRELL NUTTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
722 12TH ST SE, AUBURN, WA 98002
(253) 939-0700
(253) 939-6024
Mailing address
722 12TH ST SE, AUBURN, WA 98002
(253) 939-0700
(253) 939-6024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7439
WA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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