| NPI | 1861526576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WARREN BOWEN Owner 626-963-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 034934) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |