Provider Demographics
NPI:1912971524
Name:BOWMAN, ANNE ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ELIZABETH
Last Name:BOWMAN
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 1:345 F ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-2626
Mailing Address - Country:US
Mailing Address - Phone:619-425-9770
Mailing Address - Fax:619-425-9797
Practice Address - Street 1:345 F ST
Practice Address - Street 2:SUITE 240
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2626
Practice Address - Country:US
Practice Address - Phone:619-425-9770
Practice Address - Fax:619-425-9797
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373891223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics