Individual
DR. KIPP OWENS CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
550 W 16TH ST, YUMA, AZ 85364-4632
(928) 782-4392
(928) 782-2089
Mailing address
550 W 16TH ST, YUMA, AZ 85364-4632
(928) 782-4392
(928) 782-2089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8103
AZ
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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