Individual
KIWUNA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MANHEIM AVE, BRIDGETON, NJ 08302-2139
(856) 451-4700
(856) 455-3144
Mailing address
53 S LAUREL ST, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 794-7183
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI01023500
NJ
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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