Individual
CHARLOTTE A. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MD
Contact information
Practice address
3302 W AZEELE ST, TAMPA, FL 33609-2975
(813) 877-8066
(813) 876-9934
Mailing address
3302 W AZEELE ST, TAMPA, FL 33609-2975
(813) 877-8066
(813) 876-9934
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN30007
FL
Other
Enumeration date
07/19/2016
Last updated
11/03/2025
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