Individual
DR. DAN CRISTIAN BOTOACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3200 LA CRESCENTA AVE, GLENDALE, CA 91208-1600
(818) 541-9278
(818) 541-9927
Mailing address
PO BOX 9277, GLENDALE, CA 91226-0277
(818) 541-9278
(818) 541-9927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39372
CA
Other
Enumeration date
12/30/2006
Last updated
07/09/2007
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