Individual
DR. VICTOR BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1126 SADDLE RIVER RD, FAIR LAWN, NJ 07410
(201) 791-8388
(201) 791-8311
Mailing address
1126 SADDLE RIVER RD, FAIR LAWN, NJ 07410
(201) 791-8388
(201) 791-8311
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D0108802
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011339
—
NJ
Enumeration date
02/23/2007
Last updated
07/08/2007
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