Roy D. Bower, Dmd, LLC

NPI #1841682549 in Mount Vernon, Illinois

Provider Information

NPI Number: 1841682549
Entity Type: Organization
Organization Name: Roy D. Bower, Dmd, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 4201 BROADWAY ST
Address 2: SUITE C
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2282
Phone: (618) 241-0353

Authorized Official

Name: ROY BOWER, DMD
Title: OWNER
Phone: (618) 241-3528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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