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1407877962
KENNETH A FOWLER
LOMA LINDA, CA
NPI
1407877962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 32459)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- KENNETH A FOWLER D.D.S.
11201 BENTON ST DENTAL SERVICE
LOMA LINDA, CA 92357-1000
Phone number: 909-583-6127
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Mailing Address
-- KENNETH A FOWLER D.D.S.
419 EUCALYPTUS DR
REDLANDS, CA 92373-7126
Phone number: 909-792-9799
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