Individual
DR. ANISSA R OTTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4272 AVALON BLVD, MILTON, FL 32583-2808
(850) 626-6100
(850) 626-6100
Mailing address
4272 AVALON BLVD, MILTON, FL 32583-2808
(850) 626-6100
(850) 626-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15481
FL
Other
Enumeration date
05/24/2007
Last updated
04/15/2016
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