Individual
KASANDRA BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
20901 MOROSS RD, DETROIT, MI 48236-2058
(313) 626-2600
Mailing address
20901 MOROSS RD, DETROIT, MI 48236-2058
(313) 626-2600
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011495
MI
Other
Enumeration date
04/01/2015
Last updated
10/12/2015
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