Individual
DR. BENJAMIN REID BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 MARYLAND AVE E, SAINT PAUL, MN 55106-2647
(651) 436-5177
(651) 776-4840
Mailing address
6601 LYNDALE AVE S, 220, RICHFIELD, MN 55423-2477
(612) 861-9141
(612) 861-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12455
MN
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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