Individual
DR. BRETT MICHAEL BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
243 UNDERWOOD RD, RUSSELLVILLE, AL 35653-4112
(256) 332-4000
Mailing address
PO BOX 1087, RUSSELLVILLE, AL 35653-1087
(256) 332-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6195
AL
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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