Individual
DR. KLINT RAY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
530 N DIERS AVE, GRAND ISLAND, NE 68803-4964
(308) 381-8150
(380) 381-1183
Mailing address
530 N DIERS AVE, GRAND ISLAND, NE 68803-4964
(308) 381-8150
(380) 381-1183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6684
NE
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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