Individual
CANDACE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MS, MPH
Contact information
Practice address
2205 W 136TH AVE # 106-159, BROOMFIELD, CO 80023-9306
(708) 650-6229
Mailing address
6915 E 133RD AVE, THORNTON, CO 80602-8153
(719) 588-2090
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024860
CO
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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