Individual
DR. OWEN BRADLEY HEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
(580) 584-3237
Mailing address
400 MAIN ST, BROKEN BOW, OK 74728-2982
(580) 584-3321
(580) 584-3237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3532
OK
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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