Jason A. Fowler, D.D.S.
General Dentistry · Great Lakes, IL
UnclaimedD.D.S.NPI 1417205873
- Primary taxonomy
- 122300000X
- Enumerated
- 2012-08-16
- Practice location
- Great Lakes, IL
- Last NPPES update
- 2012-08-16
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.