Organization
COWDEN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON THOMAS COWDEN D.M.D. (PRESIDENT)
(505) 850-3863
Entity
Organization
Contact information
Practice address
7800 CARR WAY NE, SUITE 105, RIO RANCHO, NM 87144-0900
(505) 242-4999
(505) 242-3530
Mailing address
5300 STREAM STONE AVE NW, ALBUQUERQUE, NM 87114-4385
(505) 850-3863
(505) 242-3530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3656
NM
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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