Individual
DR. JOSEPH JOHN BUTASEK SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
238 BROOKLEY AVE, BOLLING AFB, DC 20037-7050
(202) 767-5626
Mailing address
1120 ALDEN RD, ALEXANDRIA, VA 22308-2554
(703) 799-6614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019232L
PA
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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