Individual
DR. SANFORD J KOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
622 EAST PARK AVE, LONG BEACH, NY 11561
(516) 432-5195
(516) 487-1253
Mailing address
622 EAST PARK AVE, LONG BEACH, NY 11561
(516) 432-5195
(516) 487-1253
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
027941NEWYORK
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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