Individual
DR. GARY GUY TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
511 WEST ELSIE ST., VAN BUREN, MO 63965
(573) 323-4287
(573) 323-8120
Mailing address
PO BOX 548, VAN BUREN, MO 63965-0548
(573) 323-4287
(573) 323-8120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0011062
MO
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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