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Individual
LESLIE JOYCE BUTLER
Active
Individual
LESLIE JOYCE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56864
STATE LICENSE
CA
Enumeration date
09/03/2008
Last updated
09/03/2008
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