HEATHER REBECCA BOTNEN

KODIAK, AK
NPI1437221868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AK  1010)
Additional Taxonomies124Q00000X Dental Hygienist
(Licence: AK  579)
124Q00000X Dental Hygienist
(Licence: OR  H4372)
124Q00000X Dental Hygienist
(Licence: WA  DH00005124)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
-- HEATHER REBECCA BOTNEN R.D.H.
BLDG N46 US COAST GUARD BASE
KODIAK, AK 99615
Phone number: 907-487-5757
Mailing Address
-- HEATHER REBECCA BOTNEN R.D.H.
200 ALBATROSS AVE APT A
KODIAK, AK 99615-6810
Phone number: 907-487-2309