Provider Demographics
NPI:1821319781
Name:BUTTAR INC.
Entity Type:Organization
Organization Name:BUTTAR INC.
Other - Org Name:ALL CARE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BALJINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUTTAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-226-9770
Mailing Address - Street 1:4501 NE 4TH ST
Mailing Address - Street 2:SUIT A
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-5043
Mailing Address - Country:US
Mailing Address - Phone:425-226-9770
Mailing Address - Fax:425-687-9188
Practice Address - Street 1:4501 NE 4TH ST
Practice Address - Street 2:SUIT A
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-5043
Practice Address - Country:US
Practice Address - Phone:425-226-9770
Practice Address - Fax:425-687-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA74231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5028279Medicaid