Most Relevant Information
Provider Data
NPI Number: | 1003357351 |
Provider Name: | LATOYA SHEMIA BUTLER DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 22475 |
Most Important Dates
Enumeration Date: | 03/19/2017 |
Last Updated: | 04/12/2018 |
Provider Practice Location
604 E 5TH AVE
HAVANA
FL
323331442
Practice Location Phone/Fax
Phone: | 8505392222 |
Fax: |
Provider Mailing Location
1800 MICCOSUKEE COMMONS DR APT 1105
TALLAHASSEE
FL
323085439
Provider Mailing Phone/Fax
Phone: | 9013387381 |
Fax: |