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Individual

DR. BRADFORD DANIEL BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1356 SOUTH 2100 EAST, SALT LAKE CITY, UT 84108
(801) 581-0054
(801) 581-0548
Mailing address
1356 SOUTH 2100 EAST, SALT LAKE CITY, UT 84108
(801) 581-0054
(801) 581-0548

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
144489-9923
UT
1223G0001X
General Practice Dentistry
Primary
1444899923
UT

Other

Enumeration date
09/13/2006
Last updated
02/11/2016
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