Individual
MARK R COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
227 N TALBERT BLVD, LEXINGTON, NC 27292
(336) 249-2906
(336) 249-7988
Mailing address
PO BOX 1107, 227 N TALBERT BLVD, LEXINGTON, NC 27292
(336) 249-2906
(336) 249-7988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC6426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002V
—
NC
Enumeration date
04/24/2007
Last updated
07/08/2007
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