Derek Wayne Lowe, DMD Valid NPI
Individual provider · Dentist · Fairbanks, AK
- NPI
- 1679786172
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 115692 (AK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-05-08
- Last updated
- 2021-03-19
Practice location
570 Riverstone Way Suite 1
Fairbanks, AK 99709
(907) 455-4350