Individual
JAMIL SOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14393 ORANGE CT, WOODBRIDGE, VA 22191-2620
(571) 265-7078
Mailing address
14393 ORANGE CT, WOODBRIDGE, VA 22191-2620
(571) 265-7078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414592
VA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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