Individual
PAIGE HOPE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 656-0608
(618) 656-0615
Mailing address
21 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 656-0608
(618) 656-0615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032726
IL
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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