Individual
MS. MARTA SUE BUTLER-BEARZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
548 FRONT ST, SUITE C, FAIRPLAY, CO 80440
(719) 836-0967
(719) 836-0967
Mailing address
PO BOX 967, FAIRPLAY, CO 80440
(719) 836-0967
(719) 836-0967
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
200621
CO
Other
Enumeration date
03/27/2013
Last updated
07/25/2013
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