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Individual

THOMAS W. UTT

Active
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Individual

THOMAS W. UTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

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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