Individual
DR. JACK GEORGE SOLIMAN BOTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
515 DELAWARE ST SE RM 6-440K, MINNEAPOLIS, MN 55455-0357
(213) 272-7573
Mailing address
515 DELAWARE ST SE RM 6-440K, MINNEAPOLIS, MN 55455-0357
(213) 272-7573
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
FF94
MN
Other
Enumeration date
11/13/2024
Last updated
11/14/2024
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