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NPI Code Detail

MEDICARE: DR. SALVATORE RUSSELL CUTINO DDS

MEDICARE: DR. SALVATORE RUSSELL CUTINO DDS
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
1122300000XDentist2901015314MI

General Provider Information

NPI Number : 1144215005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE RUSSELL CUTINO DDS
Provider Business Mailing Address
First Line : 22449 PADDINGTON CT.
Second Line :
City : NOVI
State : MI
Zip : 48374
Country : US
Telephone Number : 586-480-0834
Fax Number :
Provider Business Practice Location Address
First Line : 2700 MARTIN LUTHER KING JR BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48208-2576
Country : US
Telephone Number : 313-494-6621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 08/15/2014

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Directions to “ DR. SALVATORE RUSSELL CUTINO DDS” Practice Location

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