Individual
DR. AUSTIN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
765 MORNING STAR DR, SONORA, CA 95370-5193
(209) 532-7418
Mailing address
765 MORNING STAR DR, SONORA, CA 95370-5193
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102884
CA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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