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BETHANY BISHOP

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1245783406

Individual Registrant:
 BETHANY  BISHOP 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
550 FIFTH ST.  CALHAN, CO 80808-0041 US
Tel: 719-347-3212  Fax: --

Contact information for business:
PO BOX 41  CALHAN, CO 80808-0041 US
Tel: --  Fax: --

Registration Information:
NPI: 1245783406
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CODH.000003109

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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