Individual
ANDREA N OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 PUBLIC SQ, COLUMBIA, KY 42728-1456
(270) 384-3481
(270) 385-9866
Mailing address
318 PUBLIC SQ, COLUMBIA, KY 42728-1456
(270) 384-3481
(270) 385-9866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9945
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2017
Last updated
08/28/2017
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