# MICHAEL D BOWEN DDS PC

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

## Provider details

- **NPI number:** 1740621606
- **Authorized official:** DR. MICHAEL DALE BOWEN DDS (PRESIDENT)
- **Authorized official phone:** (989) 687-7378

## Contact information

- **Practice address:** 292 E SAGINAW RD, SANFORD, MI 48657-9220
- **Practice address phone:** (989) 687-7378
- **Practice address fax:** (989) 687-9449
- **Mailing address:** 292 E SAGINAW RD, SANFORD, MI 48657-9220
- **Mailing address phone:** (989) 687-7378
- **Mailing address fax:** (989) 687-9449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901012107 | MI | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 07/08/2013
