Individual
CRYSTAL J OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6976 OLD CUSSETA RD BLDG 4202, FORT BENNING, GA 31905-5431
(706) 544-3176
Mailing address
6976 OLD CUSSETA RD BLDG 4202, FORT BENNING, GA 31905-5431
(706) 544-3176
(706) 545-5228
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH15213
FL
124Q00000X
Dental Hygienist
Primary
H.9034-C
AL
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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