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NPI Code Detail

MEDICARE: DR. ROBERT WALCK BOWSER DMD

MEDICARE: DR. ROBERT WALCK BOWSER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS038247PA

General Provider Information

NPI Number : 1760702567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT WALCK BOWSER DMD
Provider Business Mailing Address
First Line : 2161 E MARKET ST
Second Line :
City : YORK
State : PA
Zip : 17402-2848
Country : US
Telephone Number : 717-757-3474
Fax Number : 717-840-4999
Provider Business Practice Location Address
First Line : 2161 E MARKET ST
Second Line :
City : YORK
State : PA
Zip : 17402-2848
Country : US
Telephone Number : 717-757-3474
Fax Number : 717-840-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2010
Last Update Date : 11/05/2012

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