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Individual

JOHN BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,S.C

Contact information

Practice address
9547 LAKEVIEW DRIVE, MINOCQUA, WI 54548
(715) 356-7330
(715) 358-3388
Mailing address
PO BOX 200, MINOCQUA, WI 54548-0200
(715) 356-7330
(715) 358-3388

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000611
WI

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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