NPI | 1457742918 |
---|---|
Former Legal Business Name | TRACY A BOWDEN, D.D.S., L.L.C. |
Other Name | KIDS FIRST PEDIATRIC DENTISTRY, L.L.C. |
Entity Type | Organization |
Authorized Contact | AUSTIN JOSEPH SCHUMANN BOWDEN Co Owner 410-828-5699 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 10463) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2022-09-07 |