Individual
DR. RALPH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 MYRTLE AVE, NEWBURYPORT, MA 01950-3625
(978) 807-2321
Mailing address
18 MYRTLE AVE, NEWBURYPORT, MA 01950-3625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10028
MA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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