Individual
DR. THOMAS OTIS BOWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 LUSK DR, WEST UNION, SC 29696-2629
(864) 638-7733
Mailing address
114 BOW INN DR, SUNSET, SC 29685-2904
(864) 878-2097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1358
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z13584
—
SC
Enumeration date
03/24/2007
Last updated
07/08/2007
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