# FAMILY DENTAL CARE

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

## Provider details

- **NPI number:** 1598738643
- **Authorized official:** DR. LESLEY T BOWDEN DDS (SEC TREAS)
- **Authorized official phone:** (308) 384-0534

## Contact information

- **Practice address:** 815 N CUSTER AVE, GRAND ISLAND, NE 68803
- **Practice address phone:** (308) 384-0534
- **Practice address fax:** (308) 384-4094
- **Mailing address:** 815 N CUSTER AVE, GRAND ISLAND, NE 68803
- **Mailing address phone:** (308) 384-0534
- **Mailing address fax:** (308) 384-4094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NE | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 08/22/2020