Individual
KENDRA JASMIN BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
5047 VIRGINIA AVE BLDG 500, FORT LEONARD WOOD, MO 65473-9126
(573) 596-0408
(573) 596-0314
Mailing address
6958 NEBRASKA AVE BLDG 1608, FORT LEONARD WOOD, MO 65473-1618
(573) 596-0410
(573) 596-0410
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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