Organization
ROY D. BOWER, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY BOWER DMD (OWNER)
(618) 241-3528
Entity
Organization
Contact information
Practice address
4201 BROADWAY ST, SUITE C, MOUNT VERNON, IL 62864-2282
(618) 241-0353
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23506
IL
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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