John Robert Bottala DDS, MS

NPI 1639345861 - Dentist - 1223X0400X

NPI Details
NPI 1639345861
Gender Male
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3110 CHINO AVE
SUITE 200
CHINO HILLS CA, 91709-1211, US
Phone (909) 613-9434
Fax
Business Location
3110 CHINO AVE
SUITE 200
CHINO HILLS CA, 91709-1211, US
Phone (909) 613-9434
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 35475
Remove 1639345861 NPI Number
 

According to our database, Dr. John Robert Bottala DDS, MS NPI is 1639345861, taxonomy code is 1223X0400X and license number is 35475, license state is located at California. John Robert Bottala DDS, MS physically located at 3110 Chino Ave, Chino Hills CA, 91709-1211. NPI Number John Robert Bottala DDS, MS has the Individual type.

Sponsored links

1639345861 NPI number is provided on an as is basis without warranty of any kind. 1639345861 is maintained by the National Plan & Provider Enumeration System. The contents of John Robert Bottala DDS, MS are for informational purposes only.