Individual
DR. LAUREN ELIZABETH BOWERSOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4150
(770) 941-6979
Mailing address
790 HUFF RD NW APT 5059, ATLANTA, GA 30318-4385
(678) 429-6704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014870
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2013
Last updated
09/21/2015
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