Provider Demographics
NPI:1033256789
Name:MOWER, ROBERT WAYNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WAYNE
Last Name:MOWER
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:26537 MC BEAN PARKWAY
Mailing Address - Street 2:SUITE 255
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:661-255-1515
Mailing Address - Fax:661-255-1661
Practice Address - Street 1:26357 MCBEAN PKWY
Practice Address - Street 2:SUITE 255
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4488
Practice Address - Country:US
Practice Address - Phone:661-255-1515
Practice Address - Fax:661-255-1661
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA452961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery