Individual
DR. EDWARD BRIAN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
5005 N PIEDRAS ST, U.S. ARMY DENTAL ACTIVITY- FT BLISS, EL PASO, TX 79920-5001
(915) 742-6001
(915) 568-5174
Mailing address
5005 N PIEDRAS ST, U.S. ARMY DENTAL ACTIVITY- FT BLISS, EL PASO, TX 79920-5001
(915) 742-6001
(915) 568-5174
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30-01-8220
OH
1223P0300X
Periodontics
DE00008884
WA
Other
Enumeration date
01/18/2006
Last updated
06/07/2016
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