| NPI | 1396121828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JEANNE BUTLER General Dentist 510-465-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 64928) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |