Individual
ALIVIA BETH OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E GRAND BLANC RD, GRAND BLANC, MI 48439-1304
(810) 694-8244
Mailing address
240 E GRAND BLANC RD, GRAND BLANC, MI 48439-1304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601395
MI
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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