Individual
THAYLAN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 N 10TH ST, FORT DODGE, IA 50501-3915
(515) 576-6500
Mailing address
2720 N 25TH ST, FORT DODGE, IA 50501-8810
(515) 227-6880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-10086
IA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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