Individual
TOMAS KUTANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 W A ST, FALLON, NV 89406-2947
(775) 423-6547
(775) 423-4278
Mailing address
320 W A ST, FALLON, NV 89406-2947
(775) 423-6547
(775) 423-4278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5064
NV
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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