Individual
MR. MARK SIMMONS BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 N MAIN ST, HEBER CITY, UT 84032-1438
(435) 654-2020
Mailing address
340 N MAIN ST STE 1, HEBER CITY, UT 84032-1438
(435) 654-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12337045-9921
UT
Other
Enumeration date
08/11/2006
Last updated
11/09/2022
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