Individual
BRYAN D. TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1011 SAINT ANDREWS DR, SUITE A, EL DORADO HILLS, CA 95762-4248
(916) 933-2848
(916) 933-3997
Mailing address
1011 SAINT ANDREWS DR, SUITE A, EL DORADO HILLS, CA 95762-4248
(916) 933-2848
(916) 933-3997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52947
CA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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