| Justin Cowan Dental Corporation | |
|
4601 Pacific Coast Hwy Long Beach CA 90804 | |
| (562) 366-8931 | |
| Not Available |
| Full Name | Justin Cowan Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4601 Pacific Coast Hwy, Long Beach, California |
| Authorized Official Name and Position | Justin Cowan (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Cowan Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: () - | Justin Cowan Dental Corporation 4601 Pacific Coast Hwy Long Beach CA 90804 Ph: (562) 366-8931 |
| NPI Number | 1942039904 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942039904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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