DR. Carol Edwards Owens

NPI #1710176789 in Jackson, Wyoming

Provider Information

NPI Number: 1710176789
Entity Type: Individual
Name: DR. Carol Edwards Owens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 16, 2007
Last Updated: Oct 16, 2007

Practice Location

Address: 1130 S. HWY 89
City: Jackson
State: Wyoming
ZIP Code: 83001-0628
Phone: (307) 733-3848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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