Individual
MADISON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
104 PROMINENCE POINT PKWY STE 100, CANTON, GA 30114-1236
(770) 704-6987
Mailing address
942 IDLEWOOD DR, CANTON, GA 30115-1865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123127
GA
Other
Enumeration date
05/08/2023
Last updated
06/26/2023
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