Individual
MR. PAUL G HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1950 POTTERY AVE, SUITE 4, PORT ORCHARD, WA 98366-2592
(360) 876-6211
(360) 876-7952
Mailing address
1950 POTTERY AVE, SUITE 4, PORT ORCHARD, WA 98366-2592
(360) 876-6211
(360) 876-7952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212605
L & I PROVIDER #
WA
01
—
1665005
UCC PROVIDER #
WA
Enumeration date
11/29/2006
Last updated
07/08/2007
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