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1194939793
IRENE FOWELL
LAKEWOOD, CA
NPI
1194939793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 41250)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- IRENE FOWELL DDS
5555 DEL AMO BLVD
LAKEWOOD, CA 90713-2307
Phone number: 562-866-1735
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Mailing Address
-- IRENE FOWELL DDS
5555 DEL AMO BLVD
LAKEWOOD, CA 90713-2307
Phone number: 562-866-1735
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