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Organization

JEFFREY F. SOWLE DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY F. SOWLE DDS (PRESIDENT)
(208) 289-3221
Entity
Organization

Contact information

Practice address
601 EAST MAIN ST, KENDRICK, ID 83537-0160
(208) 289-3221
(208) 289-3721
Mailing address
PO BOX 160, KENDRICK, ID 83537-0160
(208) 289-3221
(208) 289-3721

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
66D1616
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002462000
ID
05
5037569
WA
Enumeration date
04/22/2008
Last updated
04/22/2008
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