Organization
KUTUZA ALEXANDER SAFONOVICH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KUTUZA DMD (OWNER)
(215) 868-9070
Entity
Organization
Contact information
Practice address
935 4TH STREET DR NE, HICKORY, NC 28601-3950
(828) 409-1726
Mailing address
134 BLUE RIDGE TRL, MOORESVILLE, NC 28117-8477
(215) 868-9070
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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