Individual
AMANDA BOWROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3501 N HALSTED ST, CHICAGO, IL 60657-1832
(773) 388-1600
Mailing address
3750 N WILTON AVE APT 4, CHICAGO, IL 60613-0326
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020017887
IL
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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