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Individual

DR. ANNA FEDAK BOTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
449 S 1ST ST, EVANSVILLE, WI 53536-1394
(608) 882-4338
(608) 882-6777
Mailing address
449 S 1ST ST, EVANSVILLE, WI 53536-1394
(608) 882-4338
(608) 882-6777

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
18830
FL
1223G0001X
General Practice Dentistry
Primary
6443
WI

Other

Enumeration date
08/25/2009
Last updated
09/09/2009
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