# O G BOWSER DMD LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083768006
- **Authorized official:** DR. O G BOWSER DMD (PRESIDENT)
- **Authorized official phone:** (724) 763-3651

## Contact information

- **Practice address:** 939 FOURTH AVENUE, FORD CITY, PA 16226-0208
- **Practice address phone:** (724) 763-3651
- **Practice address fax:** (724) 763-2634
- **Mailing address:** PO BOX 208, 939 FOURTH AVENUE, FORD CITY, PA 16226-0208
- **Mailing address phone:** (724) 763-3651
- **Mailing address fax:** (724) 763-2634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS015328L | PA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 12/28/2010