| NPI | 1649719493 |
|---|---|
| Other Name | JAKE HUTCHINGS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR d11023) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-05-07 |