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Individual

DR. JEREMY BRENT OWYOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
304 S OVERLOOK DR, SAN RAMON, CA 94582-4541
(213) 268-3535
Mailing address
304 S OVERLOOK DR, SAN RAMON, CA 94582-4541

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
54552
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54552
CA

Other

Enumeration date
05/13/2009
Last updated
04/21/2021
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