Colleen Bothell, DDS
Dentist in Yakima, WA. Individual provider (NPI-1).
NPI number1740640705
StatusActive
Last updated in NPPESNov 30, 2018
Details
- NPI
- 1740640705
- Entity type
- Individual (NPI-1)
- Name
- Colleen Bothell
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2016
- Last updated
- Nov 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE60732007 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
12 S 8th StYakima, WA 98901-3020
Phone 509-454-4143
Mailing address
Po Box 2605Yakima, WA 98907-2605
Phone 509-454-4143 · Fax 509-454-4115
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All 73 Dentist providers in Yakima · All 4,822 providers in Yakima
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