Individual
DR. JONATHAN BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8401 OSUNA RD NE, SUITE E, ALBUQUERQUE, NM 87111-2074
(505) 884-6408
(505) 872-3065
Mailing address
8401 OSUNA RD NE, SUITE E, ALBUQUERQUE, NM 87111-2074
(505) 884-6408
(505) 872-3065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7670
AZ
1223G0001X
General Practice Dentistry
Primary
DD3421
NM
Other
Enumeration date
11/19/2008
Last updated
01/12/2011
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