Individual
SUSAN L BOTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
236 S 3RD ST, #294, MONTROSE, CO 81401-3618
(970) 240-2720
(970) 240-2724
Mailing address
626 N 4TH ST, MONTROSE, CO 81401-3520
(970) 417-4414
(970) 240-2724
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
000902869
CO
Other
Enumeration date
10/30/2013
Last updated
06/23/2014
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