Brent Kutlesa, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1871889659
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6288 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-06-21
- Last updated
- 2011-06-21
Practice location
100 W 15th St
Edmond, OK 73013-3603
(405) 330-2123