Individual
DR. MATTHEW KYLE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
238 E STATE RD STE 2, PLEASANT GROVE, UT 84062-3621
(801) 796-7779
Mailing address
51 N 850 E, LINDON, UT 84042-2154
(801) 879-2199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12879656
UT
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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