Individual
MICHAEL BOWMAN IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7604 GOODWOOD BLVD, BATON ROUGE, LA 70806-7622
(225) 927-7545
Mailing address
4025 CHATFIELD AVE, BATON ROUGE, LA 70808-1610
(225) 202-0770
(225) 343-6177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6089
LA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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