Mikkell Marie Bowens, DMD

NPI #1578237830 in Grand Ronde, Oregon

Provider Information

NPI Number: 1578237830
Entity Type: Individual
Name: Mikkell Marie Bowens, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 2, 2021
Last Updated: Aug 2, 2021

Practice Location

Address: 9605 GRAND RONDE RD
City: Grand Ronde
State: Oregon
ZIP Code: 97347-9712
Phone: (503) 879-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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