Bottala, John Robert

Bottala, John Robert is an sole proprietor health care provider with primary practice located at 3110 Chino Ave Suite 200, Chino Hills CA 91709-1211. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bottala, John Robert can be contacted via phone (909) 613-9434.

Contact Information

Primary practice address
3110 Chino Ave Suite 200 Chino Hills CA 91709-1211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 35475 California

Profile Details

NPI number 1639345861
LBN Legal business name Bottala, John Robert
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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