Individual
DR. KELLEN MATTHEW BOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4551 FLEUR DR, DES MOINES, IA 50321-2331
(563) 340-1527
Mailing address
4551 FLEUR DR, DES MOINES, IA 50321-2331
(563) 340-1527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09933
IA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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