Individual
DR. BEVERLY ANNE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(156) 164-2100
(561) 804-5629
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL 33401-3429
(156) 164-2100
(561) 804-5629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25312
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115152300
—
FL
Enumeration date
06/13/2019
Last updated
01/10/2023
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