Individual
DR. LESLIE O. FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
181 E WARD ST, ASHEBORO, NC 27203-5547
(336) 629-6464
Mailing address
1563 BLUEBIRD LN, ASHEBORO, NC 27205-9602
(336) 626-4677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC 3547
NC
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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