Individual
JOANNA CHRISTINE BOURAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6936 PINE ARBOR DR S STE 210, COTTAGE GROVE, MN 55016-4672
(217) 540-8386
Mailing address
6936 PINE ARBOR DR S STE 210, COTTAGE GROVE, MN 55016-4672
(805) 729-0090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14545
MN
Other
Enumeration date
05/28/2021
Last updated
10/21/2025
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