Carly Botten, DENTAL HYGIENIST

NPI 1801337985 · on the registry since 2017

Practice

Address: 15910 W Company Lake Rd
C/O Tricia Krym
Hayward, WI 54843
Phone: (715) 634-2541
Organisation at this address: Great Lakes Mental Health Center
Lakeview Medical Center Inc Of Rice Lake
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin