Individual
DR. WALTER RAY BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, 8-166 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 624-9613
Mailing address
515 DELAWARE ST SE, 8-166 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 624-9613
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10428
MN
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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