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Individual

DR. MICHELE L BOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
9100 MARKETPLACE DR, MIAMISBURG, OH 45342-4671
(937) 433-5133
(937) 433-9984
Mailing address
4100 MARKET PLACE DRIVE, MIAMISBURG, OH 45342
(937) 433-5133
(937) 433-9984

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30021499
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30021499
LICENSE #
OH
Enumeration date
07/27/2006
Last updated
11/11/2010
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