Organization
DANA L BOTT DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L BOTT DDS (OWNER PRESIDENT)
(414) 764-4060
Entity
Organization
Contact information
Practice address
9555 S HOWELL AVE, SUITE 600, OAK CREEK, WI 53154
(414) 764-4060
Mailing address
9555 S HOWELL AVE, SUITE 600, OAK CREEK, WI 53154
(414) 764-4060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3740
WI
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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