Individual provider · Type 1 NPI

Michelle Lee Dutra, BS, DS PCAS

Specialist · Taunton, MA

NPI number 1780943175 Active

Practice location

68 Allison Ave
Taunton, MA 02780-6958

Mailing address

143 Rocky Meadow St
Middleboro, MA 02346-3011

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780943175

Michelle Lee Dutra, BS, DS PCAS's National Provider Identifier is 1780943175, issued on May 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Taunton, MA. The record was last updated on May 7, 2012.