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Individual

DR. SHIRLEY BOTCHWAY-MANU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
470 PROSPECT AVE, SUITE 301, WEST ORANGE, NJ 07052-4153
(973) 324-0660
(973) 324-0180
Mailing address
470 PROSPECT AVE, SUITE 301, WEST ORANGE, NJ 07052-4153
(973) 324-0660
(973) 324-0180

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 18979
NJ

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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