Individual
DR. KEVIN JAMES BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2409 FAIROAK DR, FORT WAYNE, IN 46809-2301
(260) 747-5745
Mailing address
330 BAYSPRING DR, FORT WAYNE, IN 46814-9052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11549
TN
122300000X
Dentist
Primary
12014057A
IN
Other
Enumeration date
05/26/2021
Last updated
10/30/2023
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