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Individual

GRANT W BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2552 F RD, GRAND JUNCTION, CO 81505-1422
(970) 241-1313
(970) 241-5202
Mailing address
2552 F RD, GRAND JUNCTION, CO 81505-1422
(970) 241-1313
(970) 241-5202

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10419
CO
1223G0001X
General Practice Dentistry
Primary
LL-226-10
NV

Other

Enumeration date
08/25/2010
Last updated
07/05/2011
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