Individual
MISS MEGAN S UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1155 PRATER WAY, SPARKS, NV 89431-4438
(775) 358-6320
Mailing address
2020 ROSELITE DR UNIT 302, RENO, NV 89502-3362
(616) 430-1204
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7520
NV
390200000X
Student in an Organized Health Care Education/Training Program
RES-30562
IA
Other
Enumeration date
03/27/2019
Last updated
10/05/2021
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