Organization
CHARLES D MCNUTT DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCNUTT (DENTIST)
(954) 741-2323
Entity
Organization
Contact information
Practice address
3501 NW 84TH AVE, SUNRISE, FL 33351-6607
(954) 741-2323
(954) 749-3606
Mailing address
3501 NW 84TH AVE, SUNRISE, FL 33351-6607
(954) 741-2323
(954) 749-3606
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
DN5807
FL
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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