# JAMIL SOWAN, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164960357
- **Authorized official:** DR. JAMIL SOWAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (571) 265-7078

## Contact information

- **Practice address:** 10408 PORTSMOUTH RD, MANASSAS, VA 20109-8032
- **Practice address phone:** (571) 265-7078
- **Mailing address:** 10408 PORTSMOUTH RD, MANASSAS, VA 20109-8032
- **Mailing address phone:** (571) 265-7078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414592 | VA | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017