Individual
DR. GARY M BOWEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
319 MAIN ST., CLAY, WV 25043
(304) 587-7495
(304) 587-7524
Mailing address
112 CANTERBURY CIR, ELKVIEW, WV 25043
(304) 965-0520
(304) 587-7425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV 3570
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001572
—
WV
Enumeration date
01/17/2007
Last updated
07/09/2007
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