| NPI | 1043612328 |
|---|---|
| Former Name | AMY BUTZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 1001006-15) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-09-25 |