Organization
WILLIAM PETER BUTRICA JR. DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PETER BUTRICA JR. D.D.S. (PRESIDENT)
(707) 528-8400
Entity
Organization
Contact information
Practice address
990 SONOMA AVE, SUITE 22, SANTA ROSA, CA 95404-4802
(707) 528-8400
(707) 544-4265
Mailing address
990 SONOMA AVE, SUITE 22, SANTA ROSA, CA 95404-4802
(707) 528-8400
(707) 544-4265
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42036
CA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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