Individual
DELIA TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12625 FREDERICK ST STE F4, MORENO VALLEY, CA 92553-5234
(951) 697-7750
(951) 697-7752
Mailing address
13040 ESSEN LN, MORENO VALLEY, CA 92555-6757
(951) 616-8209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58943
CA
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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