Individual
DR. LARRY RICHARD BOWMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
HQS, U.S. ARMY DENTAL ACTIVITY, 51005 WINANS RILEY BARRACKS EAST WING, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
(520) 533-7285
Mailing address
HQS, U.S. ARMY DENTAL ACTIVITY, 51005 WINANS RILEY BARRACKS EAST WING, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
(520) 533-7285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4153
KY
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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