Dutko, Victor Martin

Dutko, Victor Martin is an individual health care provider with primary practice located at 2959 Canfield Rd Suite 14, Youngstown OH 44511-2800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dutko, Victor Martin can be contacted via phone (330) 799-1216.

Contact Information

Primary practice address
2959 Canfield Rd Suite 14 Youngstown OH 44511-2800
Fax: (330) 799-1526
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17650 Ohio

Profile Details

NPI number 1811036650
LBN Legal business name Dutko, Victor Martin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811036650 NPPES
Ohio MEDICAID 0602235

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