Individual
DR. ROBERT G BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6650 CROSSING DR.SE, KENTWOOD, MI 49508
(616) 554-2100
(616) 554-2104
Mailing address
6650 CROSSING DR.SE, KENTWOOD, MI 49508
(616) 554-2100
(616) 554-2104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011270
MI
122300000X
Dentist
7085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01120
STATE DENTAL LICENSE
MI
01
—
7085
STATE DENTAL LICENSE
FL
Enumeration date
07/10/2006
Last updated
07/08/2007
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