Fowler Family Practice

NPI 1710304415 - Dentist - 122300000X

NPI Details
NPI 1710304415
Enumeration Date 03/20/2014
Last Updated 03/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KATHY KATHY
Position CREDENTIAL MANAGER
Phone (614) 766-5722
Fax
Practice Location
9745 FAIRWAY BLVD
POWELL OH, 43065-6947, US
Phone (614) 766-5722
Fax
Business Location
9745 FAIRWAY BLVD
POWELL OH, 43065-6947, US
Phone (614) 766-5722
Fax
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 30023906
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According to our database, Fowler Family Practice NPI is 1710304415, taxonomy code is 122300000X and license number is 30023906, license state is located at Ohio. Fowler Family Practice physically located at 9745 Fairway Blvd, Powell OH, 43065-6947. NPI Number 1033115704 has the healthcare provider type.

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1710304415 NPI number is provided on an as is basis without warranty of any kind. 1710304415 is maintained by the National Plan & Provider Enumeration System. The contents of Fowler Family Practice are for informational purposes only.