Individual
DR. ERIC P BUETOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2933 HORSESHOE WAY, NORTH POLE, AK 99705
(907) 488-0861
(907) 488-3141
Mailing address
PO BOX 56258, 2933 HORSESHOE WAY, NORTH POLE, AK 99705
(907) 488-0861
(907) 488-3141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
523
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DDO523
—
AK
Enumeration date
11/15/2006
Last updated
07/08/2007
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