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DR. RICHARD LLOYD BOTZBACH D.D.S.

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1831200666

Individual Registrant:
DR. RICHARD LLOYD BOTZBACH D.D.S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6B LIBERTY STE. 220 ALISO VIEJO, CA 92656-5832 US
Tel: 949-362-9971  Fax: --

Contact information for business:
6B LIBERTY STE. 220 ALISO VIEJO, CA 92656-5832 US
Tel: 949-362-9971  Fax: 949-362-9886

Registration Information:
NPI: 1831200666
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CA39235

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CORPORATION26-3924736CA01




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