DR. Irina Bolotnikova, D.D.S.

NPI #1396816419 in Morton Grove, Illinois

Provider Information

NPI Number: 1396816419
Entity Type: Individual
Name: DR. Irina Bolotnikova, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7963 GOLF RD
City: Morton Grove
State: Illinois
ZIP Code: 60053-1040
Phone: (847) 583-0033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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