Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 9078 | NC |
Y | 122300000X | Dentist | DN 10489 | WA |
NPI | 1003895939 |
---|---|
Provider Name | Dr. Christopher Leif Rowe |
First Address | Apo, AE 09180 |
Second Address | Apo, AE 09180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 07/05/2015 |