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1053719252
CHANTAL BOTROS
IRVINE, CA
NPI
1053719252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 101120)
Additional Taxonomies
122300000X Dentist
(Licence: HI 2569)
Enumeration Date
2014-12-21
Last Update Date
2018-04-10
Business Address
Dr. CHANTAL BOTROS DMD
17010 RED HILL AVE STE D
IRVINE, CA 92614-5626
Phone number: 949-975-0150
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Mailing Address
Dr. CHANTAL BOTROS DMD
592 MYSTIC WAY
LAGUNA BEACH, CA 92651-1923
Phone number: 312-804-2557
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