Brent Kutlesa, D.D.S.

NPI #1871889659 in Edmond, Oklahoma

Provider Information

NPI Number: 1871889659
Entity Type: Individual
Name: Brent Kutlesa, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 100 W 15TH ST
City: Edmond
State: Oklahoma
ZIP Code: 73013-3603
Phone: (405) 330-2123

Specialties & Taxonomy Codes

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

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