Individual
DR. NICHOLAS BOTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 HYDRAULIC RIDGE RD STE 101, CHARLOTTESVILLE, VA 22901-8130
(434) 979-1365
Mailing address
13817 FOGGY HILLS CT, CLIFTON, VA 20124-2409
(703) 981-5829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415243
VA
Other
Enumeration date
06/12/2016
Last updated
05/03/2023
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