DR. DUTRAN DO, MD, DMD

Oral & Maxillofacial Surgery

Active Individual
NPI: 1053490961

Practice Address

12401 WILSHIRE BLVD STE 104
Los Angeles, CA 90025

Phone: (203) 200-7280

Specialties

Specialty Code Primary License
Dentist 122300000X No 64626 (CA)
Oral & Maxillofacial Surgery 204E00000X Yes C139636 (CA)

Frequently Asked Questions

NPI 1053490961 is the National Provider Identifier for DR. DUTRAN DO, MD, DMD, a Oral & Maxillofacial Surgery provider located in Los Angeles, CA. This NPI was enumerated on November 2, 2006.
DR. DUTRAN DO, MD, DMD practices at 12401 WILSHIRE BLVD STE 104, Los Angeles, CA 90025.

Quick Facts

NPI
1053490961
Type
Individual
Enumerated
Nov 2, 2006
Last Updated
Feb 27, 2022

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