NPI 1063596864

Kent Darrell Nuttall, DMD

Practitioner General Practice Dentistry Auburn, WA

Practice location

Address: 722 12th St SE, Auburn, WA 98002
Phone: (253) 939-0700
Fax: (253) 939-6024

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7439 (WA)

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Registry record

NPI: 1063596864
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.