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Individual

DR. JAY E. COWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9602 E WASHINGTON ST, INDIANAPOLIS, IN 46229-4504
(317) 536-0748
(317) 536-0761
Mailing address
9602 E WASHINGTON ST, INDIANAPOLIS, IN 46229-4504
(317) 536-0748
(317) 536-0761

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12009344
IN

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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