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Individual

DR. DOUGLAS YALE BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MPH

Contact information

Practice address
809 S. CHUGACH ST., STE. #2, PALMER, AK 99645
(907) 745-5337
(907) 745-5338
Mailing address
809 S. CHUGACH ST., STE. #2, PALMER, AK 99645
(907) 745-5337
(907) 745-5338

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
LL-455-17
NV
1223P0221X
Pediatric Dentistry
Primary
149005
AK

Other

Enumeration date
09/18/2017
Last updated
05/01/2023
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