Jefferson Tyler Cowling, D.D.S.

NPI #1659710663 in Dyess Afb, Texas

Provider Information

NPI Number: 1659710663
Entity Type: Individual
Name: Jefferson Tyler Cowling, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 24, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 697 LOUISIANA RD
City: Dyess Afb
State: Texas
ZIP Code: 79607-1141
Phone: (325) 696-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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