Individual
DR. HANNA BUTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2707 E ATLANTIC BLVD, POMPANO BEACH, FL 33062-4941
(954) 715-2507
Mailing address
2707 E ATLANTIC BLVD, POMPANO BEACH, FL 33062-4941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN22641
LICENSE
FL
Enumeration date
07/07/2017
Last updated
04/06/2020
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