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Organization

BOWSER FAMILY DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN JAMES BOWSER DDS (MEMBER)
(574) 215-6544
Entity
Organization

Contact information

Practice address
3615 LAKE AVE, FORT WAYNE, IN 46805-5539
(260) 424-6031
(260) 755-5176
Mailing address
330 BAYSPRING DR, FORT WAYNE, IN 46814-9052

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/23/2025
Last updated
04/23/2025
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