Individual
DR. BRANDON OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2001 S SHIELDS ST, BLDG A, FORT COLLINS, CO 80526-1827
(970) 484-4102
Mailing address
2001 S SHIELDS ST, BLDG A, FORT COLLINS, CO 80526-1827
(970) 484-4102
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9259
CO
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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