Individual
MR. RONALD SMITH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
954 EAST 7145 SOUTH, # B101, MIDVALE, UT 84047
(801) 565-8080
(801) 562-0559
Mailing address
954 EAST 7145 SOUTH, # B101, MIDVALE, UT 84047
(801) 565-8080
(801) 562-0559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142254
UT
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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