Individual
JOHN RANDAL BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2335 A STATE AVE, PANAMA CITY, FL 32405
(850) 785-5500
(850) 785-1277
Mailing address
2335 A STATE AVE, PANAMA CITY, FL 32405
(850) 785-5500
(850) 785-1277
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN11224
FL
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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