Organization
DRS MOSS AND OWEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L OWEN III DMD (OWNER PARTNER)
(803) 432-2155
Entity
Organization
Contact information
Practice address
310 HAMPTON PARK, CAMDEN, SC 29020
(803) 432-2155
(803) 432-7744
Mailing address
PO BOX 1647, CAMDEN, SC 29021
(803) 432-2155
(803) 432-7744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
SC1815-DR MOSS
SC
1223G0001X
General Practice Dentistry
Primary
SC2127-DR OWEN
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821272
—
SC
Enumeration date
08/31/2007
Last updated
08/31/2007
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