Individual
DR. R. KENT OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4269 W M-80, CHIPPEWA CORRECTIONAL FACILITY, KINCHELOE, MI 49784-0001
(906) 495-2275
Mailing address
4269 W M-80, CHIPPEWA CORRECTIONAL FACILITY, KINCHELOE, MI 49784-0001
(906) 495-2275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016771
MI
1223G0001X
General Practice Dentistry
2901016771
MI
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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