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Individual

DOUGLAS B HUTCHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
604 LOCUST ST, SUITE 510, DES MOINES, IA 50309-3720
(515) 243-3419
Mailing address
801 GRAND AVE 150, DES MOINES, IA 50309-8014
(515) 243-3419
(515) 280-5460

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6446
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006064
IA
01
46293
WELLMARK
IA
Enumeration date
03/08/2007
Last updated
12/07/2015
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