Individual
DR. BENJAMIN PATRICK SOWLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1401 N ALLEN ST, ROBINSON, IL 62454-1003
(618) 546-1544
Mailing address
1211 PEACHTREE DR, CHATHAM, IL 62629-8058
(217) 414-4919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032153
IL
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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