Lake Bowen Dental

NPI #1417053406 in Inman, South Carolina

Provider Information

NPI Number: 1417053406
Entity Type: Organization
Organization Name: Lake Bowen Dental
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8810 HWY 9
City: Inman
State: South Carolina
ZIP Code: 29349
Phone: (864) 592-1647

Authorized Official

Name: DR. ASA DUNCAN SHIRLEY III, DMD
Title: DENTIST/OWNER
Phone: (864) 592-1647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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