Individual
MARY BETH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1393 MERIDIAN DR STE 1, WOODBURN, OR 97071-8799
(503) 981-1360
(503) 982-3528
Mailing address
1393 MERIDIAN DR STE 1, WOODBURN, OR 97071-8799
(503) 981-1360
(503) 982-3528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7618
OR
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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