Organization
KENNETH D. OWEN, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DALE OWEN SR. D.D.S., M.SC.O. (ORTHODONTIST)
(704) 366-8006
Entity
Organization
Contact information
Practice address
497 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 366-8006
(704) 364-9390
Mailing address
497 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 366-8006
(704) 364-9390
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2908
NC
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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