Organization
TIMOTHY W. KUTAS D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WALTER KUTAS DDS (OWNER)
(901) 327-5604
Entity
Organization
Contact information
Practice address
519 N HIGHLAND ST, MEMPHIS, TN 38122-4521
(901) 327-5604
(901) 327-5605
Mailing address
519 N HIGHLAND ST, MEMPHIS, TN 38122-4521
(901) 327-5604
(901) 327-5605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS7087
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3203705
—
TN
Enumeration date
05/27/2008
Last updated
05/27/2008
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