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Organization
BOWEN & BOWEN, PLLC
Active
Organization
BOWEN & BOWEN, PLLC
Active
Other names
Bowen Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MAX BOWEN II DDS (MEMBER)
(304) 587-7495
Entity
Organization
Contact information
Practice address
319 MAIN ST, CLAY, WV 25043
(304) 587-7495
(304) 587-7425
Mailing address
PO BOX 965, CLAY, WV 25043
(304) 587-7495
(304) 587-7524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3570
WV
1223G0001X
General Practice Dentistry
WV3620
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005399
—
WV
Enumeration date
08/31/2006
Last updated
02/27/2008
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