Dr. Todd Glen Botwin, DMD
Dentist, General Practice in Vero Beach, FL. Individual provider (NPI-1).
NPI number1639343106
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1639343106
- Entity type
- Individual (NPI-1)
- Name
- Dr. Todd Glen Botwin
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2008
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN-18018 | FL | Yes |
| 122300000X | Dentist | 18018 | FL |
Practice location
83 Royal Palm PtVero Beach, FL 32960-4253
Phone 772-257-6101 · Fax 772-257-6102
Mailing address
83 Royal Palm PtVero Beach, FL 32960-4253
Phone 772-257-6101 · Fax 772-257-6102
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