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Individual

DR. BENJAMIN MICHAEL STOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
323 N LEROUX ST STE 100, FLAGSTAFF, AZ 86001-4542
(928) 774-1168
Mailing address
822 W BIRCH AVE, FLAGSTAFF, AZ 86001-4420

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010335
AZ

Other

Enumeration date
06/12/2019
Last updated
06/12/2019
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