Individual
THOMAS W. UTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-7030
(509) 522-3704
Mailing address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(509) 525-7030
(509) 522-3704
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
29747
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5809
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5858
OR
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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