| NPI | 1326208612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT BOWMAN Owner 419-332-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 15560) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |