Individual
ZIAD KUTOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8950 US HIGHWAY 64 STE 108, LAKELAND, TN 38002-4566
(734) 741-3588
Mailing address
8950 US HIGHWAY 64, LAKELAND, TN 38002-4566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123133
GA
Other
Enumeration date
05/18/2023
Last updated
09/27/2023
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