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Individual

DR. CRAIG S NORBUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MD

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3280
(217) 383-7071
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-6941

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002434
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
036136664
IL

Other

Enumeration date
10/29/2009
Last updated
01/20/2015
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