Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DEN00202817 | CO |
NPI | 1003267261 |
---|---|
Provider Name | Dr. Steven Hutt |
First Address | Westminster, CO 80234-1718 |
Second Address | Westminster, CO 80234-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2016 |
Last Update Date | 08/07/2016 |