Individual
DR. THOMAS HUGH OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1150 HAZELTINE BLVD, CHASKA, MN 55318-1004
(952) 361-0777
(952) 361-6729
Mailing address
16300 HIGHWOOD DR, MINNETONKA, MN 55345-2643
(952) 935-4176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64912100
—
MN
Enumeration date
12/12/2006
Last updated
07/20/2017
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