| William Peter Butrica Jr. Dds, A Professional Corporation | |
|
990 Sonoma Ave Suite 22 Santa Rosa CA 95404-4802 | |
| (707) 528-8400 | |
| (707) 544-4265 |
| Full Name | William Peter Butrica Jr. Dds, A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 990 Sonoma Ave, Santa Rosa, California |
| Authorized Official Name and Position | William Peter Butrica (PRESIDENT) |
| Authorized Official Contact | 7075288400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Peter Butrica Jr. Dds, A Professional Corporation 990 Sonoma Ave Suite 22 Santa Rosa CA 95404-4802 Ph: (707) 528-8400 | William Peter Butrica Jr. Dds, A Professional Corporation 990 Sonoma Ave Suite 22 Santa Rosa CA 95404-4802 Ph: (707) 528-8400 |
| NPI Number | 1801166129 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801166129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 42036 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave Ste 108, Santa Rosa, CA 95405 Phone: 707-523-2399 Fax: 707-523-1411 | |
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