Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | VA |
NPI | 1265493274 |
---|---|
Provider Name | Dr. Gilbert Lee Button |
First Address | Richmond, VA 23298-0566 |
Second Address | Richmond, VA 23298-5045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 08/07/2007 |