Individual
DR. DAN M DUTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
715 S DORA ST, UKIAH, CA 95482-5335
(707) 462-6052
(707) 468-9621
Mailing address
715 S DORA ST, UKIAH, CA 95482-5335
(707) 462-6052
(707) 468-9621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20848
CA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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