| Owen Dental, Pc | |
|
333 S Woodruff Ave Idaho Falls ID 83401-4322 | |
| (208) 523-4700 | |
| Not Available |
| Full Name | Owen Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 333 S Woodruff Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | John Wendell Owen (DENTIST) |
| Authorized Official Contact | 2085234700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Dental, Pc 333 S Woodruff Ave Idaho Falls ID 83401-4322 Ph: (208) 523-4700 | Owen Dental, Pc 333 S Woodruff Ave Idaho Falls ID 83401-4322 Ph: (208) 523-4700 |
| NPI Number | 1093981011 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093981011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3888 (Idaho) | Primary |
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