| NPI | 1326167057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. BOWLER Owner 757-898-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004816) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-05-14 |