Individual
DR. CHARLES L OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
747 E 79TH ST, CHICAGO, IL 60619-3117
(773) 874-0404
(773) 874-5900
Mailing address
PO BOX 19329, CHICAGO, IL 60619-0329
(773) 874-0404
(773) 874-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020907
IL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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