Individual
DR. JOHN ROBERT BOTTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3110 CHINO AVE, SUITE 200, CHINO HILLS, CA 91709-1211
(909) 613-9434
Mailing address
3110 CHINO AVE, SUITE 200, CHINO HILLS, CA 91709-1211
(909) 613-9434
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35475
CA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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