Organization
FOWLER FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DOTSON (CREDENTIAL MANAGER)
(614) 441-9212
Entity
Organization
Contact information
Practice address
9745 FAIRWAY BLVD, POWELL, OH 43065-6947
(614) 766-5722
Mailing address
9745 FAIRWAY BLVD, POWELL, OH 43065-6947
(614) 766-5722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023906
OH
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
Update your record
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