Individual
LANCE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6340 LITTLEROCK RD SW, TUMWATER, WA 98512
(360) 786-1313
(360) 786-1603
Mailing address
6340 LITTLEROCK RD SW, TUMWATER, WA 98512
(360) 786-1313
(360) 786-1603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60737401
WA
1223G0001X
General Practice Dentistry
Primary
DE60737401
WA
Other
Enumeration date
05/04/2017
Last updated
07/23/2018
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