Individual
EDWARD IRVIN MAXWELL LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1800 LINCOLN WAY STE 100, COEUR D ALENE, ID 83814-2570
(208) 699-4312
Mailing address
11043 EVANS ST, LOMA LINDA, CA 92354-2708
(208) 699-4312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5548
ID
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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