Individual
DR. MARTIN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 TEACO RD, KENNETT, MO 63857-3236
(573) 888-3521
Mailing address
205 TEACO RD, KENNETT, MO 63857-3236
(573) 888-3521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017023766
MO
Other
Enumeration date
07/13/2017
Last updated
06/13/2023
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