Individual
DR. ELIZABETH ANN BOTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5850 FM 802, STE. C3, BROWNSVILLE, TX 78526-5203
(956) 832-0050
Mailing address
5850 FM 802, STE. C3, BROWNSVILLE, TX 78526-5203
(956) 832-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282194402
—
TX
05
—
282194409
—
TX
Enumeration date
07/11/2011
Last updated
09/12/2014
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