Individual
DR. BLAKE LAWRENCE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
COMMANDING OFFICER, NAVAL HOSPITAL, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 451-2208
Mailing address
1175 HART AVE, YUMA, AZ 85365-3602
(928) 269-7130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-25963
MT
Other
Enumeration date
07/03/2023
Last updated
07/25/2025
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