Individual
DR. TRACY AUSTIN BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2326 YORK RD, SUITE 200, TIMONIUM, MD 21093-2266
(410) 828-5699
(410) 828-0711
Mailing address
2326 YORK RD, SUITE 200, TIMONIUM, MD 21093-2266
(410) 828-5699
(410) 828-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10463
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545404200
—
MD
Enumeration date
10/18/2006
Last updated
10/12/2016
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