Individual
DR. BRADLEY STEVEN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1225 HIGHWAY 101, FLORENCE, OR 97439-4717
(888) 859-5914
Mailing address
1225 HIGHWAY 101, FLORENCE, OR 97439-4717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10494
OR
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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