Individual
DR. MICHELLE RENEE BOTTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1625 LENA COURT, SUITE A, EAGAN, MN 55122-2959
(651) 452-4111
(651) 452-8824
Mailing address
1625 LENA CT, SUITE 100, EAGAN, MN 55122-2959
(651) 452-4111
(651) 452-8824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11376
MN
Other
Enumeration date
11/08/2006
Last updated
05/21/2014
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