Susan L Bothwell, RDH

NPI #1811325822 in Montrose, Colorado

Provider Information

NPI Number: 1811325822
Entity Type: Individual
Name: Susan L Bothwell, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 30, 2013
Last Updated: Jun 23, 2014

Practice Location

Address: 236 S 3RD ST
Address 2: #294
City: Montrose
State: Colorado
ZIP Code: 81401-3618
Phone: (970) 240-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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