| NPI | 1679046932 |
|---|---|
| Other Name | KIMI SPENCER BUTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL D0006315-C1) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL D0006315-C1) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL C16315) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-09-13 |