Individual
MS. CAROLINA BOTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6520 NW 114TH AVE APT 1625, DORAL, FL 33178-4586
(305) 934-4158
Mailing address
6520 NW 114TH AVE APT 1625, DORAL, FL 33178-4586
(305) 934-4158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21563
FL
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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