Individual
DR. STACEY P OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3455 GOVERNMENT ST, BATON ROUGE, LA 70806-5717
(504) 512-0705
Mailing address
3455 GOVERNMENT ST, BATON ROUGE, LA 70806-5717
(225) 230-3599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6930
LA
Other
Enumeration date
06/19/2017
Last updated
03/18/2021
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