NICKOLAS DOMINIC OTTEY BOWEN

BROOKLYN, NY
NPI1073213625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DN10000126)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-03
Last Update Date2024-05-25
Business Address
Dr. NICKOLAS DOMINIC OTTEY BOWEN DMD
451 CLARKSON AVE
BROOKLYN, NY 11203-2054
Phone number: 407-242-7060
Mailing Address
Dr. NICKOLAS DOMINIC OTTEY BOWEN DMD
33 HILLCREST PARK APT A
SOUTH HADLEY, MA 01075-2976
Phone number: 407-242-7060