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Individual

JASON THOMAS COWDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
7800 CARR WAY NE, SUITE 105, RIO RANCHO, NM 87144-0900
(505) 242-4999
Mailing address
5300 STREAM STONE AVE NW, ALBUQUERQUE, NM 87114-4385
(505) 850-3863

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10474
CO
122300000X
Dentist
Primary
DD3656
NM

Other

Enumeration date
06/22/2011
Last updated
11/21/2012
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