Individual
MR. PRESTON TEVAL BOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 E COLBY ST, WHITCHALL, MI 49461
(231) 894-8814
(231) 893-6505
Mailing address
6116 NESTROM RD, WHITCHALL, MI 49461
(231) 894-8124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010639
MI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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