Organization
DENNIS PAUL NUTTER DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PAUL NUTTER DDS (OWNER)
(707) 422-5444
Entity
Organization
Contact information
Practice address
3694 HILBORN RD STE 100, FAIRFIELD, CA 94534-7994
(707) 422-5444
(707) 422-1613
Mailing address
3694 HILBORN RD STE 100, FAIRFIELD, CA 94534-7994
(707) 422-5444
(707) 422-1613
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B28054
DENTI-CAL
CA
Enumeration date
12/28/2015
Last updated
12/28/2015
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