Provider Demographics
NPI:1356434377
Name:BOWERS, SOLEDAD C (DDS)
Entity type:Individual
Prefix:DR
First Name:SOLEDAD
Middle Name:C
Last Name:BOWERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9362 S COLORADO BLVD
Mailing Address - Street 2:SUITE D14
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126
Mailing Address - Country:US
Mailing Address - Phone:720-348-1772
Mailing Address - Fax:720-344-8465
Practice Address - Street 1:9362 S COLORADO BLVD
Practice Address - Street 2:SUITE D14
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126
Practice Address - Country:US
Practice Address - Phone:720-348-1772
Practice Address - Fax:720-344-8465
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice