| NPI | 1972933570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRAIG BOWEN Owner 304-453-3329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3636) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |