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Blane Bowen, DDS Valid NPI

Individual provider · General Practice Dentistry · Harrison, MI

NPI
1588046700
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
2901021620 (MI)
Sex
Male
Sole proprietor
Yes
Enumerated
2015-06-24
Last updated
2015-06-24
Practice location
815 N Clare Ave
Harrison, MI 48625-8176
(810) 964-1410

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