Individual
DR. BRANDON M BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1356 S 2100 E, SALT LAKE CITY, UT 84108-2244
(801) 913-0337
(801) 581-0548
Mailing address
1356 S 2100 E, SALT LAKE CITY, UT 84108-2244
(801) 913-0337
(801) 581-0548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11334328
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
04/08/2019
Last updated
01/29/2025
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