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Individual

DR. ROBERT MARCUS FOWLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
124 STRODE CIR, CLEMSON, SC 29631-1484
(864) 722-9050
Mailing address
102 ALBERMARLE DR, CLEMSON, SC 29631-1702
(864) 940-9572

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4482
SC

Other

Enumeration date
04/09/2009
Last updated
06/03/2010
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