Individual
WILLIAM OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 N JACKSON ST, SUITE 9, TULLAHOMA, TN 37388-2207
(931) 455-0950
Mailing address
2111 N JACKSON ST, SUITE 9, TULLAHOMA, TN 37388-2207
(931) 455-0950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS4184
TN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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