Individual
LARRY DALLAS OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DH
Contact information
Practice address
2501 CAPEHART ROAD, OFFUTT AFB, NE 68113
(402) 294-3212
Mailing address
2501 CAPEHART RD # NE, OFFUTT AFB, NE 68113-1043
(402) 294-3212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
956
NE
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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