Organization
JACK M. OWENS JR. DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M OWENS JR. D.D.S. (OWNER)
(225) 658-0089
Entity
Organization
Contact information
Practice address
5980 MAIN ST, ZACHARY, LA 70791-4029
(225) 658-0089
(225) 658-0789
Mailing address
5980 MAIN ST, ZACHARY, LA 70791-4029
(225) 658-0089
(225) 658-0789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4096
LA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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