Individual
DR. MAZHAR M. BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 N BEADLE DR, CARBONDALE, IL 62901-1150
(618) 457-2123
(618) 351-1401
Mailing address
35 DOCTORS PARK, 1001 N BEADLE DR., CARBONDALE, IL 62901
(618) 457-2123
(618) 351-1401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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