Individual
BETHANY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 FIFTH ST., CALHAN, CO 80808-0041
(719) 347-3212
Mailing address
PO BOX 41, CALHAN, CO 80808-0041
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000003109
CO
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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