Individual
JOHANA KUTROLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1415 GOVERNORS SQUARE BLVD, TALLAHASSEE, FL 32301-3049
(850) 688-9095
Mailing address
1415 GOVERNORS SQUARE BLVD, TALLAHASSEE, FL 32301-3049
(718) 350-6774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24526
FL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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