Individual
SATPAL S JUTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200
Mailing address
163 GOLD ST APT 2N, NEW BRITAIN, CT 06053-4506
(860) 518-8068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13241
CT
Other
Enumeration date
04/05/2021
Last updated
08/15/2022
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