Individual
DR. RICHARD LLOYD BOTZBACH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6B LIBERTY, STE. 220, ALISO VIEJO, CA 92656-5832
(949) 362-9971
Mailing address
6B LIBERTY, STE. 220, ALISO VIEJO, CA 92656-5832
(949) 362-9971
(949) 362-9886
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-3924736
CORPORATION
CA
Enumeration date
08/31/2006
Last updated
09/17/2009
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