Individual
CASEY BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10928 EAGLE RIVER RD STE 105, EAGLE RIVER, AK 99577-8079
(907) 622-3000
Mailing address
10928 EAGLE RIVER RD STE 105, EAGLE RIVER, AK 99577-8079
(907) 622-3000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
179366
AK
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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