Individual
DR. STEVEN DOUGLAS FOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., INC
Contact information
Practice address
27800 MEDICAL CENTER RD., SUITE 155, MISSION VIEJO,, CA 92691-6442
(949) 364-0590
(949) 364-0739
Mailing address
27800 MEDICAL CENTER RD., SUITE 155, MISSION VIEJO,, CA 92691-6442
(949) 364-0590
(949) 364-0739
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24777
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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