Individual
DR. GOUTOM KUMAR SAHA BHOWMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2040 COLISEUM DR # A27, HAMPTON, VA 23666-3200
(312) 274-4531
Mailing address
99 TIDE MILL LN APT 15B, HAMPTON, VA 23666-2725
(347) 255-0954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416226
VA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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