| NPI | 1740496280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NORMAN BOWMAN President 478-746-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 7993) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-02-28 |