Individual
DR. PAUL BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2001 S TIGER DR, YORKTOWN, IN 47396-9385
(765) 759-2273
Mailing address
2001 S TIGER DR, YORKTOWN, IN 47396-9385
(765) 759-9451
(765) 759-8749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012550A
IN
Other
Enumeration date
06/29/2016
Last updated
04/21/2017
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