| Kutuza Alexander Safonovich Pllc | |
|
935 4th Street Dr Ne Hickory NC 28601-3950 | |
| (828) 409-1726 | |
| Not Available |
| Full Name | Kutuza Alexander Safonovich Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 935 4th Street Dr Ne, Hickory, North Carolina |
| Authorized Official Name and Position | Alexander Kutuza (OWNER) |
| Authorized Official Contact | 2158689070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kutuza Alexander Safonovich Pllc 134 Blue Ridge Trl Mooresville NC 28117-8477 Ph: (215) 868-9070 | Kutuza Alexander Safonovich Pllc 935 4th Street Dr Ne Hickory NC 28601-3950 Ph: (828) 409-1726 |
| NPI Number | 1659855633 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 09/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659855633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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