Dr. SAMUEL MATTHEW FOWLER DMD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1740662766- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 77 NEALY AVE, LANGLEY AFB, VA, 236652040
- Phone
- (801) 837-6021
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: PA
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #0401419024