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Individual

REBECCA JO BOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, MSDH

Contact information

Practice address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH-1722-RST
ID
124Q00000X
Dental Hygienist
Primary
DH60263001
WA

Other

Enumeration date
05/23/2018
Last updated
05/23/2018
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