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Individual

MS. PATRICIA OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DENTAL HYGIENIST HAP

Contact information

Practice address
3721 CLUBSIDE LANE, SACRAMENTO, CA 95835-2005
(916) 419-4508
Mailing address
3721 CLUBSIDE LN, SACRAMENTO, CA 95835-2008
(916) 419-4508

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
228
CA
124Q00000X
Dental Hygienist
5639
CA

Other

Enumeration date
01/27/2009
Last updated
07/17/2009
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