Individual
SCOTT BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
2418 HANOVER AVE, RICHMOND, VA 23220-3406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415251
VA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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