Individual
BING MARTIN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1911 S WABASH ST, WABASH, IN 46992-4122
(260) 563-8333
(260) 563-8334
Mailing address
1911 S WABASH ST, WABASH, IN 46992-4122
(260) 563-8333
(260) 563-8334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007234A
IN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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