NPI | 1497867964 |
---|---|
Doing Business As | BOWEN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | GARY MAX BOWEN Member 304-587-7495 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV WV3570) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV WV3620) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-02-27 |