Organization
BOWMAN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA L. BOWMAN D.M.D. (PRESIDENT)
(618) 632-2282
Entity
Organization
Contact information
Practice address
741 W STATE ST, STE. 1, O FALLON, IL 62269-1971
(618) 632-2282
Mailing address
741 W STATE ST, STE. 1, O FALLON, IL 62269-1971
(618) 632-2282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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