Richard L. Botzbach II Dental Corporation
Dentist, Orthodontics and Dentofacial Orthopedics in Aliso Viejo, CA. Organization (NPI-2).
NPI number1467775122
StatusActive
Last updated in NPPESMar 10, 2010
Details
- NPI
- 1467775122
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard L. Botzbach II Dental Corporation
- Organization subpart
- No
- Enumeration date
- Mar 10, 2010
- Last updated
- Mar 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 39235 | CA | Yes |
Other names
- Nellie Gail Orthodontics (Doing Business As)
Practice location
6 B LibertySuite 220
Aliso Viejo, CA 92656-5835
Phone 949-362-9971 · Fax 949-362-9886
Mailing address
6 B LibertySuite 220
Aliso Viejo, CA 92656-5835
Phone 949-362-9971 · Fax 949-362-9886
Authorized official
Richard Lloyd Botzbach
Owner, President
9493629971
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