Individual
MRS. STACI OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
3810 WINDERMERE PKWY, SUITE 501, CUMMING, GA 30041-6103
(770) 889-9600
(770) 888-0012
Mailing address
3810 WINDERMERE PKWY, SUITE 501, CUMMING, GA 30041-6103
(770) 889-9600
(770) 888-0012
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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