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Individual

ANA CAROLINA BOTTA-MALTESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
133 WESTCHESTER HALL SBU, STONY BROOK, NY 11794-8706
(631) 632-8937
Mailing address
133 WESTCHESTER HALL SBU, STONY BROOK, NY 11794-8706
(631) 632-8937

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000041-1
NY

Other

Enumeration date
12/02/2013
Last updated
07/07/2022
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