Individual
SARAH KRISTINE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, OMT
Contact information
Practice address
1114 LAKE ST, COLTON, WA 99113-9700
(208) 791-7140
Mailing address
1114 LAKE ST, COLTON, WA 99113-9700
(208) 791-7140
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60179227
WA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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