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Organization
JAY E. COWAN, D.D.S. PROFESSIONAL SERVICES CORPORATION
Active
Organization
JAY E. COWAN, D.D.S. PROFESSIONAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY E. COWAN D.D.S. (OWNER/SURGEON)
(317) 536-0748
Entity
Organization
Contact information
Practice address
9602 E WASHINGTON ST, INDIANAPOLIS, IN 46229-4504
(317) 536-0748
(317) 536-0721
Mailing address
9602 E WASHINGTON ST, INDIANAPOLIS, IN 46229-4504
(317) 536-0748
(317) 536-0721
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12009344A
IN
Other
Enumeration date
05/16/2008
Last updated
12/03/2019
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