NPI | 1730387507 |
---|---|
Other Name | DWIGHT HUGH BOWKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ID D1875) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N10121) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2007-07-08 |