C Douglas Fowler Dds Inc | |
6850 Brockton Avenue Suite 103 Riverside CA 92506-3826 | |
(951) 686-5301 | |
(951) 686-4375 |
Full Name | C Douglas Fowler Dds Inc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 6850 Brockton Avenue, Riverside, California |
Authorized Official Name and Position | Charles Douglas Fowler (PRESIDENT) |
Authorized Official Contact | 9516865301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C Douglas Fowler Dds Inc 6850 Brockton Avenue Suite 103 Riverside CA 92506-3826 Ph: (951) 686-5301 | C Douglas Fowler Dds Inc 6850 Brockton Avenue Suite 103 Riverside CA 92506-3826 Ph: (951) 686-5301 |
NPI Number | 1013035153 |
---|---|
Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013035153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19067 (California) | Primary |
News Archive
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