| Kutanovski Dental Llc | |
|
229 S East St Crown Point IN 46307-4058 | |
| (219) 356-0216 | |
| (219) 356-0217 |
| Full Name | Kutanovski Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 229 S East St, Crown Point, Indiana |
| Authorized Official Name and Position | Devon M Kutanovski (OWNER DENTIST) |
| Authorized Official Contact | 9255960220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kutanovski Dental Llc 229 S East St Crown Point IN 46307-4058 Ph: (219) 356-0216 | Kutanovski Dental Llc 229 S East St Crown Point IN 46307-4058 Ph: (219) 356-0216 |
| NPI Number | 1912746439 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912746439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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