Individual
CHARLES JEFFREY BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 W COLLEGE TER, SUITE 240, FREDERICK, MD 21701-4909
(301) 662-3366
(301) 662-3362
Mailing address
10 W COLLEGE TER, SUITE 240, FREDERICK, MD 21701-4909
(301) 662-3366
(301) 662-3362
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5835
MD
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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