Organization
FOWLE & FAGIN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DOUGLAS FOWLE D.D.S. (GENERAL PARTNER)
(949) 364-0590
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER ROAD, SUITE 155, MISSION VIEJO, CA 92691-6442
(949) 364-0590
(949) 364-0739
Mailing address
27800 MEDICAL CENTER ROAD, SUITE 155, MISSION VIEJO, CA 92691-6442
(949) 364-0590
(949) 364-0739
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24777
CA
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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