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Organization

BONNIE J ROTHWELL DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BONNIE ROTHWELL (OWNER/DENTIST)
(843) 342-6900
Entity
Organization

Contact information

Practice address
11 HOSPITAL CENTER CMNS, SUITE 200, HILTON HEAD ISLAND, SC 29926-2844
(843) 342-6900
Mailing address
11 HOSPITAL CENTER CMNS, SUITE 200, HILTON HEAD ISLAND, SC 29926-2844
(843) 342-6900

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC3442
SC
122300000X
Dentist
SC4160
SC
1223P0300X
Periodontics
8695
SC

Other

Enumeration date
02/26/2016
Last updated
03/05/2016
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