Individual
ANDREA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
52 CHRISTIAN RIDGE RD, ELLSWORTH, ME 04605-3210
(207) 667-0293
(207) 667-5805
Mailing address
52 CHRISTIAN RIDGE RD, ELLSWORTH, ME 04605-3210
(207) 667-0293
(207) 667-5805
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH3712
ME
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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