Organization
CRANIOFACIAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R BOWLBY (GENERAL PARTNER)
(952) 926-1626
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S STE C61, EDINA, MN 55435-2157
(952) 926-1626
Mailing address
6545 FRANCE AVE S STE C61, EDINA, MN 55435-2157
(952) 926-1626
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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