Organization
S KUTLAY DDS CORP
Active
Other names
S KUTLAY DDS Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN KUTLAY DDS (PRESIDENT)
(661) 254-1884
Entity
Organization
Contact information
Practice address
22800 LYONS AVE STE 200, SANTA CLARITA, CA 91321-2898
(661) 254-1884
Mailing address
22800 LYONS AVE STE 200, SANTA CLARITA, CA 91321-2898
(661) 254-1884
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63976
CA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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