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Dr. Goutom Kumar Saha Bhowmick, DDS

Dentist, General Practice in Hampton, VA. Individual provider (NPI-1).

NPI number1891275111
StatusActive
Last updated in NPPESAug 16, 2018

Details

NPI
1891275111
Entity type
Individual (NPI-1)
Name
Dr. Goutom Kumar Saha Bhowmick
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2018
Last updated
Aug 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0401416226VAYes

Practice location

2040 Coliseum Dr # A27
Hampton, VA 23666-3200

Phone 312-274-4531

Mailing address

99 Tide Mill Ln Apt 15b
Hampton, VA 23666-2725

Phone 347-255-0954

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