Carly Botten, DENTAL HYGIENIST

NPI #1801337985 in Hayward, Wisconsin

Provider Information

NPI Number: 1801337985
Entity Type: Individual
Name: Carly Botten, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 15910 W COMPANY LAKE RD
Address 2: C/O TRICIA KRYM
City: Hayward
State: Wisconsin
ZIP Code: 54843-5320
Phone: (715) 634-2541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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