Individual
DR. ALFONZO BENJAMIN OWENS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
129 HALSTEAD AVE, SUITE 3, MAMARONECK, NY 10543-2619
(914) 698-1886
(914) 698-2894
Mailing address
410 GARDEN AVE, MOUNT VERNON, NY 10553-2016
(914) 699-2686
(914) 699-2686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034828
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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