Organization
BOWIE ORAL AND FACIAL SURGERY CENTER INC.
Active
Other names
Bowie Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
NKEMAKONAM EGOLUM DDS (OWNER)
(202) 460-0635
Entity
Organization
Contact information
Practice address
4175 N HANSON CT STE 200, BOWIE, MD 20716
(301) 760-4660
Mailing address
4175 N HANSON CT STE 200, BOWIE, MD 20716-3180
(301) 383-9883
(301) 349-1447
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16204
MD
Other
Enumeration date
07/28/2018
Last updated
07/30/2018
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