Individual
DR. DAVID R BOWSER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 RIDGEWOOD DRIVE, FISHERTOWN, PA 15539
(814) 839-9908
(814) 839-9925
Mailing address
PO BOX 209, 114 RIDGEWOOD DRIVE, FISHERTOWN, PA 15539
(814) 839-9908
(814) 839-9925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1702634
UNITED CONCORDIA PROVIDER
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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