Individual
MICHELLE MARIE BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3198
(718) 240-6552
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3198
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061971-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2019
Last updated
11/18/2021
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