Owen Dental, PC
NPI #1093981011 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1093981011
- Entity Type
- Organization
- Organization Name
- Owen Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Jun 2, 2008
Practice Location
- Address
- 333 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4322
- Phone
- (208) 523-4700
Authorized Official
- Name
- DR. JOHN WENDELL OWEN, DDS
- Title
- DENTIST
- Phone
- (208) 523-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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