DR. Jason Fowler, DDS

NPI #1629088547 in Benbrook, Texas

Provider Information

NPI Number
1629088547
Entity Type
Individual
Name
DR. Jason Fowler, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4200 BRYANT IRVIN RD STE 109
State
Texas
ZIP Code
76109-4212
Phone
(817) 731-6386

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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