Carolyn D Boettger D.D.S.

NPI 1558665273 - Dentist - 1223G0001X

NPI Details
NPI 1558665273
Gender Female
Enumeration Date 01/10/2011
Last Updated 01/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
371 LAKE HAVASU AVE S
LAKE HAVASU CITY AZ, 86403-9307, US
Phone (928) 600-9338
Fax
Business Location
371 LAKE HAVASU AVE S STE B
LAKE HAVASU CITY AZ, 86403-9307, US
Phone (928) 600-9338
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number D07836
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According to our database, Carolyn D Boettger D.D.S. NPI is 1558665273, taxonomy code is 1223G0001X and license number is D07836, license state is located at Arizona. Carolyn D Boettger D.D.S. physically located at 371 Lake Havasu Ave S, Lake Havasu City AZ, 86403-9307. NPI Number Carolyn D Boettger D.D.S. has the Individual type.

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1558665273 NPI number is provided on an as is basis without warranty of any kind. 1558665273 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn D Boettger D.D.S. are for informational purposes only.