Individual provider · NPI-1
Karen Bohnen
Dental Therapist · Savage, MN
NPI number1184010704
StatusActive
Last updated in NPPESApr 6, 2016
Details
- NPI
- 1184010704
- Entity type
- Individual (NPI-1)
- Name
- Karen Bohnen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2015
- Last updated
- Apr 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125J00000X | Dental Therapist | DT57 | MN | Yes |
Practice location
13899 Hwy 13 S Frnt RdSavage, MN 55378-2135
Phone 952-440-2292
Mailing address
13899 Hwy 13 S Frnt RdSavage, MN 55378-2135
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