Colleen Bothell, DDS

NPI #1740640705 in Yakima, Washington

Provider Information

NPI Number: 1740640705
Entity Type: Individual
Name: Colleen Bothell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 2, 2016
Last Updated: Nov 30, 2018

Practice Location

Address: 12 S 8TH ST
City: Yakima
State: Washington
ZIP Code: 98901-3020
Phone: (509) 454-4143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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