Individual
DR. KODY THOMAS TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
(304) 797-7740
Mailing address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4024
WV
Other
Enumeration date
10/15/2012
Last updated
02/19/2015
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