Whalio Doctors

NPI 1437221868

Heather Rebecca Botnen, RDH

Practitioner Dental Hygienist Kodiak, AK

Practice location

Address
Bldg N46 US Coast Guard Base, Kodiak, AK 99615
Phone
(907) 487-5757
Fax
(907) 487-5360
Mailing address
200 Albatross Ave APT a, Kodiak, AK 99615-6810

Registered specialties (4)

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 1010 (AK)
Dental Hygienist
Dental Providers Taxonomy 124Q00000X Licence 579 (AK)
Dental Hygienist
Dental Providers Taxonomy 124Q00000X Licence H4372 (OR)
Dental Hygienist
Dental Providers Taxonomy 124Q00000X Licence DH00005124 (WA)

Registry record

NPI
1437221868
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.