Grant J Fowler D.d.s.

NPI #1689221079 in Rogers, Arkansas

Provider Information

NPI Number
1689221079
Entity Type
Organization
Organization Name
Grant J Fowler D.d.s.
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 21, 2019
Last Updated
Aug 21, 2019

Practice Location

Address
815 W PERSIMMON ST
City
Rogers
ZIP Code
72756-3657
Phone
(479) 636-2291

Authorized Official

Name
GRANT FOWLER
Title
OWNER
Phone
(479) 636-2291

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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