Individual provider · NPI-1

Dr. Marc Bowers, D.D.S.

Dentist, General Practice · Lake Charles, LA

NPI number1962604223
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1962604223
Entity type
Individual (NPI-1)
Name
Dr. Marc Bowers
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2007
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice6825LAYes
1223G0001X Dentist, General Practice41357CA

Practice location

2706 Ryan St
Lake Charles, LA 70601-7328

Phone 337-944-0300 · Fax 337-436-5035

Mailing address

3737 Moraga Ave
Suite B206
San Diego, CA 92117-5404

Phone 858-273-0700 · Fax 858-273-7420

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