Individual
BRENT CHARLES MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 W LITTLETON BLVD STE B, LITTLETON, CO 80120
(785) 760-4679
Mailing address
2927 HAVANA ST UNIT 302, DENVER, CO 80238-3565
(785) 760-4679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00203621
CO
Other
Enumeration date
06/12/2018
Last updated
07/24/2018
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