Organization
MALDEN FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN FOWLER DMD (DENTIST)
(573) 935-7400
Entity
Organization
Contact information
Practice address
701 N DOUGLASS ST, MALDEN, MO 63863-1509
(573) 935-7400
Mailing address
701 N DOUGLASS ST, MALDEN, MO 63863-1509
(573) 935-7400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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