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Organization

RESTOREU LLC

Active
Other names
JAMES E. BUTTERMORE, DDS, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN BALLER DDS (OWNER/DENTIST)
(402) 416-6032
Entity
Organization

Contact information

Practice address
305 W 39TH ST, SOUTH SIOUX CITY, NE 68776-3737
(402) 494-4924
Mailing address
305 W 39TH ST, SOUTH SIOUX CITY, NE 68776-3737
(402) 494-4924

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/22/2023
Last updated
03/22/2023
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