Individual
MELISSA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
604A NEXTON SQUARE DR, SUMMERVILLE, SC 29486-7914
(843) 871-0433
Mailing address
16111 PLUMMER ST, DENTAL SERVICE(160), NORTH HILLS, CA 91343-2036
(757) 472-7587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9327
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2015
Last updated
03/23/2020
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