Individual
DESIREE BOWIE
Active
Individual
DESIREE BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT, LDH
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT146
MN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
Update your record
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