| NPI | 1174782486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA PRESTON FOWLER Dentist 307-856-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WY 1172) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |