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Organization
BOWIE ORAL AND FACIAL SURGERY CENTER INC.
Active
Organization
BOWIE ORAL AND FACIAL SURGERY CENTER INC.
Active
Other names
Bowie Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
NKEMAKONAM EGOLUM DDS (OWNER)
(202) 460-0635
Entity
Organization
Contact information
Practice address
4175 N HANSON CT STE 200, BOWIE, MD 20716
(301) 760-4660
Mailing address
4175 N HANSON CT STE 200, BOWIE, MD 20716-3180
(301) 383-9883
(301) 349-1447
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16204
MD
Other
Enumeration date
07/28/2018
Last updated
07/30/2018
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