Joseph John Butasek SR. DDS

NPI 1093709685 - Dentist - 122300000X

NPI Details
NPI 1093709685
Gender Male
Enumeration Date 09/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
238 BROOKLEY AVE
BOLLING AFB DC, 20037-7050, US
Phone (202) 767-5626
Fax
Business Location
1120 ALDEN RD
ALEXANDRIA VA, 22308-2554, US
Phone (703) 799-6614
Fax
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS019232L
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According to our database, Dr. Joseph John Butasek SR. DDS NPI is 1093709685, taxonomy code is 122300000X and license number is DS019232L, license state is located at Pennsylvania. Joseph John Butasek SR. DDS physically located at 238 Brookley Ave, Bolling Afb DC, 20037-7050. NPI Number Joseph John Butasek SR. DDS has the Individual type.

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1093709685 NPI number is provided on an as is basis without warranty of any kind. 1093709685 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph John Butasek SR. DDS are for informational purposes only.