Individual
DR. CHANTAL BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17010 RED HILL AVE STE D, IRVINE, CA 92614-5626
(949) 975-0150
Mailing address
592 MYSTIC WAY, LAGUNA BEACH, CA 92651-1923
(312) 804-2557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101120
CA
122300000X
Dentist
2569
HI
Other
Enumeration date
12/21/2014
Last updated
04/10/2018
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