| NPI | 1467775122 |
|---|---|
| Doing Business As | NELLIE GAIL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RICHARD LLOYD BOTZBACH Owner, President 949-362-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 39235) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |