Individual
NICHOLAS RAY BUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6810 MENAUL BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-3725
(505) 872-4422
Mailing address
10427 SHELDON RD, TAMPA, FL 33626-5110
(813) 302-7126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DD2719
NM
1223G0001X
General Practice Dentistry
Primary
DN25465
FL
Other
Enumeration date
07/19/2012
Last updated
09/24/2020
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