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1770705741
NELLY FOWLER
SANTA ANA, CA
NPI
1770705741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 32436)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
DR. NELLY FOWLER DENTIST
500 WEST 17TH STREET
SANTA ANA, CA 92706
Phone number: 714-558-8077
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Mailing Address
DR. NELLY FOWLER DENTIST
500 W. 17TH STREET SUITE B
SANTA ANA, CA 92706
Phone number: 714-558-8077
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