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1447379003
BENJAMIN ROSS BOWEN
MOSCOW, ID
NPI
1447379003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D3904)
Enumeration Date
2007-03-28
Last Update Date
2024-05-16
Business Address
Mr. BENJAMIN ROSS BOWEN DDS
1215 E 6TH ST
MOSCOW, ID 83843-3705
Phone number: 208-882-6570
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Mailing Address
Mr. BENJAMIN ROSS BOWEN DDS
1215 E 6TH ST
MOSCOW, ID 83843-3705
Phone number: 208-882-6570
Copy
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