Individual
DR. AUSTIN RICHARD FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9776 SAN JOSE BLVD STE 7, JACKSONVILLE, FL 32257-5464
(904) 268-6751
Mailing address
9776 SAN JOSE BLVD STE 7, JACKSONVILLE, FL 32257-5464
(904) 268-6751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN22687
FL
Other
Enumeration date
06/08/2017
Last updated
06/18/2024
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