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Individual

DR. WILLIAM LAWRENCE OWEN IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
310 HAMPTON PARK, CAMDEN, SC 29020-3605
(803) 432-2155
(803) 432-7744
Mailing address
PO BOX 1647, CAMDEN, SC 29021-8647
(803) 432-2155
(803) 432-7744

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4623
SC

Other

Enumeration date
06/24/2009
Last updated
06/24/2009
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