William Peter Butrica Jr. DDS, A Professional Corporation
Clinic/Center, Dental in Santa Rosa, CA. Organization (NPI-2).
NPI number1801166129
StatusActive
Last updated in NPPESJan 3, 2012
Details
- NPI
- 1801166129
- Entity type
- Organization (NPI-2)
- Legal business name
- William Peter Butrica Jr. DDS, A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Jan 3, 2012
- Last updated
- Jan 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 42036 | CA | Yes |
Practice location
990 Sonoma AveSuite 22
Santa Rosa, CA 95404-4802
Phone 707-528-8400 · Fax 707-544-4265
Mailing address
990 Sonoma AveSuite 22
Santa Rosa, CA 95404-4802
Phone 707-528-8400 · Fax 707-544-4265
Authorized official
William Peter Butrica
President
7075288400
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