Individual
DR. JONATHAN TREY OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 E 6TH ST, CHADRON, NE 69337-2783
(308) 432-5559
(308) 432-5902
Mailing address
101 E 6TH ST, CHADRON, NE 69337-2783
(308) 432-5559
(308) 432-5902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6809
NE
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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