Organization
BOWEN & BOWEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY MAX BOWEN II DDS (MEMBER)
(304) 587-7495
Entity
Organization
Contact information
Practice address
112 LEE ST W, CHARLESTON, WV 25302
(304) 342-0146
(304) 342-3606
Mailing address
112 LEE ST W, CHARLESTON, WV 25302
(304) 342-0146
(304) 342-3606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3570
WV
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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