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Individual

LOAN OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
700 SE 160TH AVE STE 121, VANCOUVER, WA 98684-8910
(360) 253-3480
Mailing address
21014 NE 190TH CT, BATTLE GROUND, WA 98604-9622
(509) 869-3912

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60249188
WA

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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