| NPI | 1326600602 |
|---|---|
| Former Legal Business Name | MICHAEL W. BOWLER, DDS |
| Entity Type | Organization |
| Authorized Contact | RASHA HAMOURI Owner 757-898-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |