Organization
VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. FOWLER D.M.D (DENTIST)
(307) 332-2201
Entity
Organization
Contact information
Practice address
185 N 4TH ST, LANDER, WY 82520-2817
(307) 332-2201
(307) 332-9110
Mailing address
185 N 4TH ST, LANDER, WY 82520-2817
(307) 332-2201
(307) 332-9110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107064900
—
WY
Enumeration date
04/03/2007
Last updated
07/17/2008
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