Matthew Kyle Bowen, DDS Valid NPI
Individual provider · Dentist · Pleasant Grove, UT
- NPI
- 1164159984
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 12879656 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-08-02
- Last updated
- 2022-08-02
Practice location
238 E State Rd Ste 2
Pleasant Grove, UT 84062-3621
(801) 796-7779