Individual
DR. ALEXANDRA BARTON OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1245 MAIN STREET, BLDG B-2, SUITE 300, BUDA, TX 78610
(303) 944-8045
Mailing address
1245 MAIN STREET, BLDG B-2, SUITE 300, BUDA, TX 78610
(303) 944-8045
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
202183
CO
1223P0221X
Pediatric Dentistry
Primary
31521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3507097
—
TX
Enumeration date
03/18/2013
Last updated
06/23/2020
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