Individual
DR. MARK MATTHEW BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD INC.
Contact information
Practice address
3637 MEDINA RD, SUITE 215, MEDINA, OH 44256-8154
(330) 722-6884
(330) 722-0575
Mailing address
3637 MEDINA RD, SUITE 215, MEDINA, OH 44256-8154
(330) 722-6884
(330) 722-0575
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20639
OH
Other
Enumeration date
08/30/2006
Last updated
03/12/2012
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