NPI 1104398429

Lytosia Denise Sutton, DA

Practitioner Dental Assistant Fort Irwin, CA

Practice location

Address: 170 Inner Loop Road, Fort Irwin, CA 92310
Phone: (719) 526-5537
Mailing address: 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1104398429
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2018
Record last updated: 27 Dec 2018

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.