Individual
MADISON OWSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403-1118
(336) 832-0110
(336) 832-0770
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11527
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
08/10/2021
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