Individual
DR. CLYDE A BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3200 S LANCASTER RD, DALLAS, TX 75216-4555
(214) 375-4100
Mailing address
3200 S LANCASTER RD, DALLAS, TX 75216-4555
(214) 375-4100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
TX
Enumeration date
10/16/2006
Last updated
12/29/2015
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