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NPI Code Detail

MEDICARE: DR. DARYNA ALEXANDRA KUTUZA DMD

MEDICARE: DR. DARYNA ALEXANDRA KUTUZA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS043381PA

General Provider Information

NPI Number : 1093481053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARYNA ALEXANDRA KUTUZA DMD
Provider Business Mailing Address
First Line : 1 PIUS ST STE B4
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1657
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7372 MCKNIGHT RD STE B
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-3558
Country : US
Telephone Number : 412-364-6440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2021
Last Update Date : 02/11/2023

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