Individual
MICHAEL A MOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7800 W USTICK RD STE 110, BOISE, ID 83704-5848
(208) 322-0040
Mailing address
13619 N 59TH AVE, GLENDALE, AZ 85304-1203
(602) 938-2911
(602) 938-5735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5219
AZ
Other
Enumeration date
02/07/2007
Last updated
12/13/2023
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