Individual
MENA BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6508
(540) 535-2006
Mailing address
500 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414557
VA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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