Individual
DR. PATRICIA ANN BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1215 EAST 6 STREET, MOSCOW, ID 83843
(208) 882-3932
Mailing address
120 N ADAMS STREET, MOSCOW, ID 83843-2831
(509) 595-3847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
N-12630
ID
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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