Organization
JONATHAN M. OWENS, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN M OWENS DMD (DENTIST - OWNER OF PRACTICE)
(770) 382-0330
Entity
Organization
Contact information
Practice address
111 STONEWALL ST, CARTERSVILLE, GA 30120-3625
(770) 382-0330
(770) 382-0568
Mailing address
111 STONEWALL ST, CARTERSVILLE, GA 30120-3625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7651
GA
1223G0001X
General Practice Dentistry
Primary
DND13878
GA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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