Individual
ALFRED LUTAAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 KING ST STE 112, NORTHAMPTON, MA 01060-2328
(413) 584-5199
Mailing address
243 KING ST STE 112, NORTHAMPTON, MA 01060-2328
(413) 584-5199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858956
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
07/13/2021
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