Individual
DR. ALICE MATILDA BUTTERWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
803 W GARDNER DR, MARION, IN 46952-1819
(765) 664-0587
(765) 664-1407
Mailing address
803 W GARDNER DR, MARION, IN 46952-1819
(765) 664-0587
(765) 664-1407
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12007455A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143680A
—
IN
Enumeration date
06/11/2006
Last updated
02/27/2013
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