Individual
DR. SARAH ELIZABETH BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2017 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 332-3121
Mailing address
4279 W WATER LILLY CT, FAYETTEVILLE, AR 72704-6380
(901) 361-4895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3830
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3830
STATE LICENSE
AR
Enumeration date
06/16/2011
Last updated
07/13/2020
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