Organization
MATTHEW A. FOWLER, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW A FOWLER D.M.D., M.S. (PRESIDENT)
(208) 468-9699
Entity
Organization
Contact information
Practice address
347 W IOWA AVE, NAMPA, ID 83686-2856
(208) 468-9699
(208) 461-9024
Mailing address
347 W IOWA AVE, NAMPA, ID 83686-2856
(208) 468-9699
(208) 461-9024
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D3264EN
ID
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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