Individual
DANIEL ANTHONY BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17000 ROBBINS RD, GRAND HAVEN, MI 49417-2788
(616) 846-7360
Mailing address
16200 HIGHLAND DR, SPRING LAKE, MI 49456-2308
(616) 846-8606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011964
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4164048
—
MI
Enumeration date
12/11/2006
Last updated
07/09/2007
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