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Individual

MICHAEL L OVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MSD

Contact information

Practice address
14640 N TATUM BLVD #5, PHOENIX, AZ 85032-4824
(602) 992-7182
(602) 992-0157
Mailing address
14640 N TATUM BLVD #5, PHOENIX, AZ 85032-4824
(602) 992-7182
(602) 992-0157

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1653
AZ

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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