Kenneth A Fowler, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Loma Linda, CA
- NPI
- 1407877962
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 32459 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-21
- Last updated
- 2007-07-08
Practice location
11201 Benton St, Dental Service
Loma Linda, CA 92357-1000
(909) 583-6127