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Individual

DR. THOMAS BRENT BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
507 E 10TH ST, ROLLA, MO 65401-3302
(573) 364-0700
Mailing address
507 E 10TH ST, ROLLA, MO 65401-3302
(573) 364-0700

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2014041703
MO

Other

Enumeration date
07/24/2006
Last updated
05/10/2017
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