Individual
ANGELA BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5658 FISHHAWK CROSSING BLVD, LITHIA, FL 33547-5900
(813) 490-1982
Mailing address
11508 MESSLER RD, GIBSONTON, FL 33534-5600
(813) 731-6342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22737
FL
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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