Individual
KELLY ANN BUTLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11517 PACIFIC AVE S, TACOMA, WA 98444-5535
(253) 537-6511
Mailing address
11517 PACIFIC AVE S, TACOMA, WA 98444-5535
(360) 897-9262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7838
CA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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