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NPI 1548756984

IndividualActive

Barbara Botorous

NPI 1548756984 · Periodontics · Minneapolis, MN

Provider details

NPI number: 1548756984
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Sex: Female
Sole proprietor: No
License: R720 (MN)

Practice location

515 Delaware St Se

Minneapolis, MN 55455-0357

Phone: (612) 625-5166

More MN providers

Mailing address

515 Delaware St Se

Minneapolis, MN 55455-0357

Registry dates

Enumerated: 2018-07-09
Last updated: 2018-07-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Barbara Botorous — NPI 1548756984, Minneapolis, MN | NPI Central