Individual
DR. LUCIUS NELSON BUTLER IV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
5406 W GLENN DR, # 2, GLENDALE, AZ 85301-2662
(623) 937-2932
(623) 435-6921
Mailing address
101 W BERRIDGE LN, PHOENIX, AZ 85013-1511
(602) 285-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4308
AZ
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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