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Individual

DR. GERALD JAMES BOTKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-3146
(305) 575-3373
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-3146
(305) 575-3373

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16588
MA

Other

Enumeration date
05/16/2006
Last updated
07/13/2007
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