Individual
ALEXEY BOTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4306 W CRYSTAL LAKE RD, MCHENRY, IL 60050-4280
(815) 344-0700
(815) 344-2146
Mailing address
4306 W CRYSTAL LAKE RD, MCHENRY, IL 60050-4280
(815) 344-0700
(815) 344-2146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
A12886
IL
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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