Individual
BETH ELLEN BATHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
791 AQUAHART RD, GLEN BURNIE, MD 21061-3961
(410) 222-6861
(410) 222-6688
Mailing address
847 S SHORE DR, GLEN BURNIE, MD 21060-8515
(410) 222-6861
(410) 222-6688
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4639
MD
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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