MIKKELL BOWENS, DMD

Dentist

Active Individual
NPI: 1578237830

Practice Address

9605 GRAND RONDE RD
Grand Ronde, OR 97347

Phone: (503) 879-2020

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 12269255-9923 (UT)

Frequently Asked Questions

NPI 1578237830 is the National Provider Identifier for MIKKELL BOWENS, DMD, a Dentist provider located in Grand Ronde, OR. This NPI was enumerated on August 2, 2021.
MIKKELL BOWENS, DMD practices at 9605 GRAND RONDE RD, Grand Ronde, OR 97347.

Quick Facts

NPI
1578237830
Type
Individual
Enumerated
Aug 2, 2021
Last Updated
Aug 2, 2021

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