Individual
VIRGINIA FADELEY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3308 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2204
(803) 360-3816
Mailing address
3308 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2204
(803) 360-3816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8099
SC
Other
Enumeration date
07/12/2012
Last updated
11/14/2024
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