Individual
JACQUELINE TUTHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5125 ZUCK RD, ERIE, PA 16506-4941
(814) 455-2158
Mailing address
5125 ZUCK RD, ERIE, PA 16506-4941
(814) 455-2158
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS040733
PA
Other
Enumeration date
04/01/2014
Last updated
04/26/2019
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