Individual
NATHAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3469 ERIE BLVD E # 3A, SYRACUSE, NY 13214
(315) 308-1544
Mailing address
3469 ERIE BLVD E # 3A, SYRACUSE, NY 13214-1635
(315) 308-1544
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056637
NY
Other
Enumeration date
11/28/2017
Last updated
11/14/2019
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