DR. Alex Hutnik I

NPI #1073920997 in Peoria, Illinois

Provider Information

NPI Number: 1073920997
Entity Type: Individual
Name: DR. Alex Hutnik I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 14, 2014
Last Updated: Jul 14, 2014

Practice Location

Address: 809 W DETWEILLER DR
Address 2: SUITE 805A
City: Peoria
State: Illinois
ZIP Code: 61615-2149
Phone: (309) 692-1320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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