# PAUL KEVIN OWENS DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper Star Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477753630
- **Authorized official:** DR. PAUL KEVIN OWENS DDS (OWNER)
- **Authorized official phone:** (623) 583-7075

## Contact information

- **Practice address:** 11001 N 99TH AVE STE 113, PEORIA, AZ 85345-5401
- **Practice address phone:** (623) 583-7075
- **Practice address fax:** (623) 523-0413
- **Mailing address:** 11001 N 99TH AVE STE 113, PEORIA, AZ 85345-5401
- **Mailing address phone:** (623) 583-7075
- **Mailing address fax:** (623) 523-0413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4630 | AZ | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 07/24/2007