Organization
UNDERTHESEADENTISTRYFORCHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA DENICE BUTLER DMD (OWNER/PEDIATRIC DENTIST)
(360) 891-9283
Entity
Organization
Contact information
Practice address
3205 SE 192ND AVE, SUITE#100, VANCOUVER, WA 98683-1467
(360) 891-9283
(360) 891-8030
Mailing address
3205 SE 192ND AVE, SUITE#100, VANCOUVER, WA 98683
(360) 891-9283
(360) 891-8030
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010355
WA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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