Individual
COURTNEY BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 9TH ST STE 190, DES MOINES, IA 50314-2527
(515) 244-9136
Mailing address
3915 154TH CT, URBANDALE, IA 50323-2224
(563) 340-5790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33838
TX
1223P0221X
Pediatric Dentistry
Primary
09743
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
07/09/2020
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