Individual
DESIREE BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT, LDH
Contact information
Practice address
636 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2151
(612) 746-1530
Mailing address
110 CARLSON PKWY APT 313, MINNETONKA, MN 55305-5311
(952) 843-3573
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT146
MN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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