| Mark M Bowman Dds Msd Inc | |
|
803 E Washington St Suite 100 Medina OH 44256 | |
| (330) 722-6884 | |
| (330) 722-0575 |
| Full Name | Mark M Bowman Dds Msd Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 803 E Washington St, Medina, Ohio |
| Authorized Official Name and Position | Mark M Bowman (PRESIDENT) |
| Authorized Official Contact | 3307226884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark M Bowman Dds Msd Inc 803 E Washington St Suite 100 Medina OH 44256 Ph: (330) 722-6884 | Mark M Bowman Dds Msd Inc 803 E Washington St Suite 100 Medina OH 44256 Ph: (330) 722-6884 |
| NPI Number | 1053465583 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053465583 | NPI | - | NPPES |
| 1264120005 | Other | OH | OHIO EMPLOYER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 20639 (Ohio) | Primary |
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