Individual
DR. KELLY LOUISE BUTTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
100 MACDONOUGH DR, VERGENNES, VT 05491-1095
(802) 877-0135
Mailing address
1232 MCKINLEY AVE, RUTLAND, VT 05701-9776
(231) 631-1044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0121080
VT
122300000X
Dentist
2901021173
MI
122300000X
Dentist
DEND891
AK
Other
Enumeration date
03/17/2006
Last updated
04/25/2024
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