Organization
CHARLES C. OWENS, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CLINTON OWENS DDS (PRESIDENT)
(580) 248-6062
Entity
Organization
Contact information
Practice address
1316 NW FERRIS AVE, LAWTON, OK 73507-6566
(580) 248-6062
(580) 248-6065
Mailing address
1316 NW FERRIS AVE, LAWTON, OK 73507-6566
(580) 248-6062
(580) 248-6065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3479
OK
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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