Brodie Len Bowman, D.M.D. Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Walton Beach, FL

NPI

1952392052

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DN 16286 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-31

Last updated

2013-02-04