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Contact Information

TATIANA M BOTERO DUQUE, DDS
1011 N UNIVERSITY AVE
ANN ARBOR, MI48109-1078
 Phone: 734-936-2526
 Fax: 734-936-1597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TATIANA M BOTERO DUQUE · (Female)

NPI # 1215126610
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/22/2007
Last updated 08/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2901018360
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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