Individual
COURTNEY KILKUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
64497
CA
1223G0001X
General Practice Dentistry
DS040156
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5313
ID
Other
Enumeration date
08/14/2014
Last updated
05/07/2025
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