Individual
MATTIE E STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5005 STATE RD, ASHTABULA, OH 44004-6265
(440) 992-3146
Mailing address
5005 STATE RD, ASHTABULA, OH 44004-6265
(440) 992-3146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025399
OH
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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