# DR. HOLLY BOTSHEKAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477676062
- **Gender:** F
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4397 | AZ | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 11/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 408527 | AHCCCS | AZ |
| 01 | — | 860909125 | TAX ID | AZ |