Individual
KYLE COLLEDGE TUTTLE
Active
Individual
KYLE COLLEDGE TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11841617-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN.00204577
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
03/31/2023
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