Shirley Botchway-manu D.M.D

NPI 1114137940 - Dentist - 1223G0001X

NPI Details
NPI 1114137940
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
470 PROSPECT AVE
SUITE 301
WEST ORANGE NJ, 07052-4153, US
Phone (973) 324-0660
Fax (973) 324-0180
Business Location
470 PROSPECT AVE
SUITE 301
WEST ORANGE NJ, 07052-4153, US
Phone (973) 324-0660
Fax (973) 324-0180
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI 18979
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According to our database, Dr. Shirley Botchway-manu D.M.D NPI is 1114137940, taxonomy code is 1223G0001X and license number is DI 18979, license state is located at New Jersey. Shirley Botchway-manu D.M.D physically located at 470 Prospect Ave, West Orange NJ, 07052-4153. NPI Number Shirley Botchway-manu D.M.D has the Individual type.

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1114137940 NPI number is provided on an as is basis without warranty of any kind. 1114137940 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Botchway-manu D.M.D are for informational purposes only.