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Individual

ROBIN M BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
601 BUSINESS LOOP 70 WEST, FAMILY DENTAL CENTER, SUITE 216C, COLUMBIA, MO 65203
(573) 214-2314
(573) 442-5208
Mailing address
1001 WEST WORLEY, FAMILY HEALTH CENTER OF BOONE COUNTY, COLUMBIA, MO 65203-2037
(573) 214-2314
(573) 442-5208

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2005015578
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588626337
NATIONAL PROVIDER IDENTIF
MO
Enumeration date
04/06/2006
Last updated
07/08/2007
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