Individual
DR. JOHN M OWEN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4915 25TH AVE NE, SUITE 205, SEATTLE, WA 98105-5667
(206) 524-1600
Mailing address
167 W MAIN ST, BEDFORD, VA 24523-1950
(540) 330-9769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414797
VA
Other
Enumeration date
02/25/2014
Last updated
01/05/2016
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