| Jamil Sowan, Dds, Inc. | |
|
10408 Portsmouth Rd Manassas VA 20109-8032 | |
| (571) 265-7078 | |
| Not Available |
| Full Name | Jamil Sowan, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 10408 Portsmouth Rd, Manassas, Virginia |
| Authorized Official Name and Position | Jamil Sowan (OWNER/DENTIST) |
| Authorized Official Contact | 5712657078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamil Sowan, Dds, Inc. 10408 Portsmouth Rd Manassas VA 20109-8032 Ph: (571) 265-7078 | Jamil Sowan, Dds, Inc. 10408 Portsmouth Rd Manassas VA 20109-8032 Ph: (571) 265-7078 |
| NPI Number | 1164960357 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164960357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414592 (Virginia) | Primary |
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