Individual
MRS. MICHELE MARIE PROCKNAL-BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
790 RIDGE RD, BAKER VICTORY DENTAL CENTER, LACKAWANNA, NY 14218
(716) 828-9344
Mailing address
58 LUDWIG AVE, WEST SENECA, NY 14224-2604
(716) 570-1755
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
51 024593
NY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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