Individual
DR. CHRIS DAVID KUTANOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D
Contact information
Practice address
8782 MADISON AVE, INDIANAPOLIS, IN 46227-7202
(317) 882-2882
Mailing address
8782 MADISON AVE, INDIANAPOLIS, IN 46227-7202
(219) 613-3846
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12011791A
IN
Other
Enumeration date
05/24/2012
Last updated
07/18/2022
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