Individual
KATELYN SOPHIA LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3790 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2629
(763) 200-5280
Mailing address
3790 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2629
(763) 200-5280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14302
MN
Other
Enumeration date
08/10/2019
Last updated
08/30/2024
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