Individual
ALFRED HARRIS FOWLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
444 FOREST SQUARE, SUITE D, LONGVIEW, TX 75605-4463
(903) 236-8538
(903) 236-8539
Mailing address
444 FOREST SQUARE, SUITE D, LONGVIEW, TX 75605-4463
(903) 236-8538
(903) 236-8539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14501
TX
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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