| NPI | 1366639676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY CURTIS BOWMAN Dentist/Owner 928-445-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4830) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |