Individual
DR. CAESAR C BUTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1277 E MISSOURI AVE, SUITE 110, PHOENIX, AZ 85014-2915
(602) 248-8745
(602) 248-7939
Mailing address
1277 E MISSOURI AVE, SUITE 110, PHOENIX, AZ 85014-2915
(602) 248-8745
(602) 248-7939
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0475500
BCBS
AZ
01
—
804262
CMDP
AZ
01
—
823999
UNITED CONCORDIA
AZ
Enumeration date
09/13/2006
Last updated
07/29/2016
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