Individual
DR. CHARLES CLINTON OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1316 NW FERRIS AVE, LAWTON, OK 73507-6566
(580) 248-6062
(580) 248-6065
Mailing address
1316 NW FERRIS AVE, LAWTON, OK 73507-6566
(580) 248-6062
(580) 248-6065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3479
OK
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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