Individual
MS. LEA ANN TUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
120 S DENTON TAP RD, 210, COPPELL, TX 75019-3297
(972) 393-7348
Mailing address
647 COWBOYS PKWY, 2060, IRVING, TX 75063-5403
(214) 701-6113
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7086
TX
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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