Organization
LTC DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID COWAN DMD (OWNER/PRESIDENT)
(205) 655-5144
Entity
Organization
Contact information
Practice address
2000 SOUTHLAKE PARK, SUITE 250, HOOVER, AL 35244-3616
(205) 278-3316
(623) 321-6268
Mailing address
19820 N 7TH ST, SUITE 290, PHOENIX, AZ 85024-1689
(877) 929-0030
(877) 929-0031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
02/23/2016
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