Individual
MR. DAVID P BOTTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2717 ORCHARD DR, CEDAR FALLS, IA 50613-5860
(319) 277-3535
(319) 277-7846
Mailing address
2717 ORCHARD DR, CEDAR FALLS, IA 50613-5860
(319) 277-3535
(319) 277-7846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6777
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194555
—
IA
Enumeration date
10/11/2006
Last updated
07/08/2007
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