John Rice Utoft, DDS Valid NPI
Individual provider · Dentist · Tyler, MN
- NPI
- 1639235971
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D7764 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-29
- Last updated
- 2007-07-08
Practice location
197 North Tyler St
Tyler, MN 56178
(507) 247-5591