Healthcare Provider Details

I. General information

NPI: 1093481053
Provider Name (Legal Business Name): DARYNA ALEXANDRA KUTUZA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 02/11/2023
Certification Date: 02/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7372 MCKNIGHT RD STE B
PITTSBURGH PA
15237-3558
US

IV. Provider business mailing address

1 PIUS ST STE B4
PITTSBURGH PA
15203-1657
US

V. Phone/Fax

Practice location:
  • Phone: 412-364-6440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS043381
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: