Individual
DR. GRANT TYLER HUTCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7900 EL CAJON BLVD, SUITE F, LA MESA, CA 91942-0607
(619) 465-1733
Mailing address
7900 EL CAJON BLVD, SUITE F, LA MESA, CA 91942-0607
(619) 465-1733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412917
VA
1223E0200X
Endodontics
Primary
61215
CA
Other
Enumeration date
07/07/2011
Last updated
08/24/2013
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