Individual
JEFFERSON TYLER COWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(325) 696-4677
Mailing address
672 I-30 E, SULPHUR SPRINGS, TX 75482-6158
(903) 348-0282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29104
TX
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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