Bowles Family Dental Corp

NPI #1003076092 in Anaheim, California

Provider Information

NPI Number: 1003076092
Entity Type: Organization
Organization Name: Bowles Family Dental Corp
Primary Specialty: Dentist
Enumeration Date: Jun 12, 2008
Last Updated: Jun 12, 2008

Practice Location

Address: 1520 E LINCOLN AVE
Address 2: SUITE 1
City: Anaheim
State: California
ZIP Code: 92805-2261
Phone: (714) 772-2114

Authorized Official

Name: MR. MARK SIMMONS BOWLES, DDS
Title: PRESIDENT OWNER
Phone: (714) 772-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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