| Bowles Family Dental Corp | |
|
1520 E Lincoln Ave Suite 1 Anaheim CA 92805-2261 | |
| (714) 772-2114 | |
| (714) 772-1739 |
| Full Name | Bowles Family Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1520 E Lincoln Ave, Anaheim, California |
| Authorized Official Name and Position | Mark Simmons Bowles (PRESIDENT OWNER) |
| Authorized Official Contact | 7147722114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowles Family Dental Corp 1520 E Lincoln Ave Suite 1 Anaheim CA 92805-2261 Ph: (714) 772-2114 | Bowles Family Dental Corp 1520 E Lincoln Ave Suite 1 Anaheim CA 92805-2261 Ph: (714) 772-2114 |
| NPI Number | 1003076092 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003076092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41818 (California) | Primary |
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