Organization
DOUGLAS R BOWMAN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ROBERT BOWMAN DDS MS (OWNER)
(419) 332-1303
Entity
Organization
Contact information
Practice address
1229 NAPOLEON ST, FREMONT, OH 43420-2358
(419) 332-1303
(419) 332-0805
Mailing address
1229 NAPOLEON ST, FREMONT, OH 43420-2358
(419) 332-1303
(419) 332-0805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035182
—
OH
Enumeration date
06/11/2008
Last updated
06/11/2008
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