Organization
GRANT J FOWLER D.D.S.
Active
Other names
Grant J Fowler D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT FOWLER (OWNER)
(479) 636-2291
Entity
Organization
Contact information
Practice address
815 W PERSIMMON ST, ROGERS, AR 72756-3657
(479) 636-2291
Mailing address
815 W PERSIMMON ST, ROGERS, AR 72756-3657
(479) 636-2291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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