Provider Demographics
NPI:1689023806
Name:OSEI TUTU, JUSTICE (RDH, MS,DPH)
Entity type:Individual
Prefix:MR
First Name:JUSTICE
Middle Name:
Last Name:OSEI TUTU
Suffix:
Gender:M
Credentials:RDH, MS,DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 CLINTON ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1003
Mailing Address - Country:US
Mailing Address - Phone:646-406-7932
Mailing Address - Fax:303-360-7475
Practice Address - Street 1:2044 CLINTON ST UNIT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1003
Practice Address - Country:US
Practice Address - Phone:646-406-7932
Practice Address - Fax:303-360-7475
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-08
Last Update Date:2017-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.002024345124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist