Individual
MIA KUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 E PRENTICE AVE STE A3, GREENWOOD VILLAGE, CO 80111-2725
(720) 782-8077
Mailing address
9365 RIVIERA HILLS DR, GREENWOOD VILLAGE, CO 80111-3453
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
063256
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00205664
CO
Other
Enumeration date
03/22/2019
Last updated
04/08/2026
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