Organization
FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEY T BOWDEN DDS (SEC TREAS)
(308) 384-0534
Entity
Organization
Contact information
Practice address
815 N CUSTER AVE, GRAND ISLAND, NE 68803
(308) 384-0534
(308) 384-4094
Mailing address
815 N CUSTER AVE, GRAND ISLAND, NE 68803
(308) 384-0534
(308) 384-4094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NE
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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