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Individual

DR. DEVERT JOSEPH OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
131 CHERRYBARK DR, LEXINGTON, KY 40503-1803
(859) 277-6678
(859) 278-9180
Mailing address
131 CHERRYBARK DR, LEXINGTON, KY 40503-1803
(859) 277-6678
(859) 278-9180

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6276
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60062767
KY
Enumeration date
05/03/2007
Last updated
07/08/2007
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