Individual
CHRISTINA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
805 PRINCIPIO RD, PORT DEPOSIT, MD 21904-1520
(443) 206-1382
Mailing address
805 PRINCIPIO RD, PORT DEPOSIT, MD 21904-1520
(443) 206-1382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401414597
VA
1223P0221X
Pediatric Dentistry
Primary
17217
MD
Other
Enumeration date
08/18/2014
Last updated
01/22/2020
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