Individual
ELIZABETH OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH,BS,PHDHP
Contact information
Practice address
4040 W 15TH ST, ERIE, PA 16505-3109
(814) 397-0449
Mailing address
4040 W 15TH ST, ERIE, PA 16505-3109
(814) 397-0449
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH013080L
PA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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