Individual
DR. CLAUDIA BOTERO-MONDUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
49 WADSWORTH AVE, SUITE E, NEW YORK, NY 10033-7048
(212) 927-1112
Mailing address
49 WADSWORTH AVE, SUITE E, NEW YORK, NY 10033-7048
(212) 927-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049554-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02190898
—
NY
Enumeration date
10/21/2005
Last updated
07/09/2007
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