Individual
DR. JONATHAN M OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 STONEWALL ST, CARTERSVILLE, GA 30120-3625
(770) 382-0330
Mailing address
111 STONEWALL ST, CARTERSVILLE, GA 30120-3625
(770) 382-0330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013878
GA
Other
Enumeration date
06/10/2009
Last updated
10/07/2010
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