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Individual

MR. BALJINDER S BUTTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DENTIST

Contact information

Practice address
4501 NE 4TH ST, SUITE A, RENTON, WA 98059
(425) 226-9770
(425) 687-9188
Mailing address
4501 NE 4TH ST, SUITE A, RENTON, WA 98059
(425) 226-9770
(425) 687-9188

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
00007423
WA
1223G0001X
General Practice Dentistry
Primary
7423
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5019690
WA
Enumeration date
12/06/2006
Last updated
06/15/2010
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