John Robert Bottala in Chino Hills - Orthodontics And Dentofacial Orthopedics
John Robert Bottala - NPI 1639345861
John Robert Bottala is a Orthodontics And Dentofacial Orthopedics in Chino Hills, California. John Robert Bottala practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Robert Bottala is 1639345861. The last update date is 2008-05-07.
John Robert Bottala's current location address is 3110 Chino Ave, Chino Hills, California. You can contact this provider via phone number 9096139434. The mailing address for John Robert Bottala is 3110 Chino Ave, Chino Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Bottala |
|---|---|
| Address | 3110 Chino Ave, Chino Hills, California |
| Phone Number | 9096139434 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1639345861 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 3110 Chino Ave |
|---|---|
| City | Chino Hills |
| State | California (CA) |
| Post Code | 917091211 |
| Phone Number | 9096139434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 35475 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique provider identifier assigned to John Robert Bottala?
The John Robert Bottala has been issued the NPI (National Provider Identifier) 1639345861 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Robert Bottala's physical address?
The John Robert Bottala is physically located at 3110 Chino Ave, in the city of Chino Hills, CA, with the postal code 917091211.
What is John Robert Bottala's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Robert Bottala's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date was the 1639345861 assigned to John Robert Bottala?
The John Robert Bottala was issued its 1639345861 on 2008-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Robert Bottala most recently updated?
The details pertaining to the John Robert Bottala, including its address, specialty, and other relevant information, were last refreshed on 2008-05-07.
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