Organization
PERLITA M. DUTTON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERLITA M DUTTON DDS (PRESIDENT)
(620) 626-4700
Entity
Organization
Contact information
Practice address
23 PROFESSIONAL DR, SUITE A, LIBERAL, KS 67901-1803
(620) 626-4700
(620) 624-2474
Mailing address
23 PROFESSIONAL DR, SUITE A, LIBERAL, KS 67901-1803
(620) 626-4700
(620) 624-2474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5895
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420776
BCBS OF KS
KS
Enumeration date
05/18/2007
Last updated
08/22/2020
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