Individual
MRS. KRISTA BOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
21204 42ND AVE, BAYSIDE, NY 11361-2813
(718) 423-7009
(718) 225-1516
Mailing address
21204 42ND AVE, BAYSIDE, NY 11361-2813
(718) 423-7009
(718) 225-1516
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019323-1
NY
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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