Individual
DR. DEREK EDWARD OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3030 E MAIN ST STE T1, FARMINGTON, NM 87402-7627
(505) 325-4867
Mailing address
1922 HOLLYHOCK CIR, FARMINGTON, NM 87401-2425
(586) 801-3300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4566
NM
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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