Individual
DANA L BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9555 S HOWELL AVE, SUITE #600, OAK CREEK, WI 53154
(414) 764-4060
Mailing address
9555 S HOWELL AVE, SUITE #600, OAK CREEK, WI 53154
(414) 764-4060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3740
WI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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