Alfred Harris Fowler III DDS

NPI 1124158092 - Dentist - 1223G0001X

NPI Details
NPI 1124158092
Gender Male
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
444 FOREST SQUARE
SUITE D
LONGVIEW TX, 75605-4463, US
Phone (903) 236-8538
Fax (903) 236-8539
Business Location
444 FOREST SQUARE
SUITE D
LONGVIEW TX, 75605-4463, US
Phone (903) 236-8538
Fax (903) 236-8539
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 14501
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According to our database, Alfred Harris Fowler III DDS NPI is 1124158092, taxonomy code is 1223G0001X and license number is 14501, license state is located at Texas. Alfred Harris Fowler III DDS physically located at 444 Forest Square, Longview TX, 75605-4463. NPI Number Alfred Harris Fowler III DDS has the Individual type.

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1124158092 NPI number is provided on an as is basis without warranty of any kind. 1124158092 is maintained by the National Plan & Provider Enumeration System. The contents of Alfred Harris Fowler III DDS are for informational purposes only.