C Douglas Fowler Dds Inc

NPI 1013035153 - Dentist - 1223X0400X

NPI Details
NPI 1013035153
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES DOUGLAS CHARLES
Position PRESIDENT
Phone (951) 686-5301
Fax (951) 686-4375
Practice Location
6850 BROCKTON AVENUE
SUITE 103
RIVERSIDE CA, 92506-3826, US
Phone (951) 686-5301
Fax (951) 686-4375
Business Location
6850 BROCKTON AVENUE
SUITE 103
RIVERSIDE CA, 92506-3826, US
Phone (951) 686-5301
Fax (951) 686-4375
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 19067
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According to our database, C Douglas Fowler Dds Inc NPI is 1013035153, taxonomy code is 1223X0400X and license number is 19067, license state is located at California. C Douglas Fowler Dds Inc physically located at 6850 Brockton Avenue, Riverside CA, 92506-3826. NPI Number 1033115704 has the healthcare provider type.

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1013035153 NPI number is provided on an as is basis without warranty of any kind. 1013035153 is maintained by the National Plan & Provider Enumeration System. The contents of C Douglas Fowler Dds Inc are for informational purposes only.