Organization
CLAYTON L OWEN DDS, PA
Active
Other names
Owen Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON LEE OWEN DDS (OWNER)
(501) 941-1700
Entity
Organization
Contact information
Practice address
1306 S PINE ST, CABOT, AR 72023-3812
(501) 941-1700
(501) 941-1703
Mailing address
1306 S PINE ST, CABOT, AR 72023-3812
(501) 941-1700
(501) 941-1703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163493608
—
AR
Enumeration date
03/06/2017
Last updated
03/06/2017
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