Individual
DR. CARRIE LYNN BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
698 BEAR RIDGE DR NW, ISSAQUAH, WA 98027-5605
(206) 790-5526
Mailing address
698 BEAR RIDGE DR NW, ISSAQUAH, WA 98027-5605
(206) 790-5526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
59473
CA
1223G0001X
General Practice Dentistry
Primary
DE60159566
WA
Other
Enumeration date
07/22/2010
Last updated
06/18/2013
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