Individual
DR. MARK V COWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5685 S 1475 E, SUITE 1A, SOUTH OGDEN, UT 84403-4716
(801) 475-8000
(801) 475-8019
Mailing address
5685 S 1475 E, SUITE 1A, SOUTH OGDEN, UT 84403-4716
(801) 475-8000
(801) 475-8019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141691-9922
UT
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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