Individual
BOBBIE JEAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 451-3553
Mailing address
2532 S 87TH AVE, OMAHA, NE 68124-2106
(402) 984-5440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8096
NE
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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