Individual
DR. CHRISTINA BOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
61-02 82 ST, MIDDLE VILLAGE, NY 11379
(718) 426-8877
Mailing address
61-02 82 ST, MIDDLE VILLAGE, NY 11379
(718) 426-8877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045492
NY
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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