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Individual
DR. CYRIL BOTOROUS
Active
Individual
DR. CYRIL BOTOROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
R838
MN
1223P0300X
Periodontics
Primary
13317
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13317
—
TN
01
—
R838
RESIDENT DENTAL LICENCE
MN
Enumeration date
07/22/2022
Last updated
09/08/2026
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