Heather Rebecca Botnen, R.D.H.

NPI #1437221868 in Kodiak, Alaska

Provider Information

NPI Number: 1437221868
Entity Type: Individual
Name: Heather Rebecca Botnen, R.D.H.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: R.D.H.
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: BLDG N46 US COAST GUARD BASE
City: Kodiak
State: Alaska
ZIP Code: 99615
Phone: (907) 487-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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