Octavius Bernard Scott, RDH

NPI #1285471052 in Windsor, Wisconsin

Provider Information

NPI Number: 1285471052
Entity Type: Individual
Name: Octavius Bernard Scott, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jul 10, 2024
Last Updated: Jul 10, 2024

Practice Location

Address: 4300 DURAFORM LN
City: Windsor
State: Wisconsin
ZIP Code: 53598-9671
Phone: (877) 837-1918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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