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Individual

DR. PERLITA M. DUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
23 PROFESSIONAL DR, SUITE A, LIBERAL, KS 67901-1803
(620) 626-4700
(620) 624-2474
Mailing address
23 PROFESSIONAL DR, SUITE A, LIBERAL, KS 67901-1803
(620) 626-4700
(620) 624-2474

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5895
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
420776
BCBS PROVIDER #
KS
Enumeration date
03/07/2007
Last updated
07/09/2007
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