Individual
MS. TIFFANY ANN FOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
427 ESSEX ST, DOVER FOXCROFT, ME 04426-1390
(207) 564-8171
Mailing address
427 ESSEX ST, DOVER FOXCROFT, ME 04426-1390
(207) 564-8171
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2098
ME
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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