Individual
GERALD V BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4118 MCCULLOUGH AVE, SUITE 12, SAN ANTONIO, TX 78212-1979
(210) 497-5771
(210) 930-2550
Mailing address
4118 MCCULLOUGH AVE, SUITE 12, SAN ANTONIO, TX 78212-1979
(210) 497-5771
(210) 930-2550
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
8925
TX
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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