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DR. STEVEN RALPH OWENS D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1538389465

Individual Registrant:
DR. STEVEN RALPH OWENS D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
#1 N. CORONADO BLVD. SUITE C CLIFTON, AZ 85533 US
Tel: 928-865-2780  Fax: 928-865-3482

Contact information for business:
PO BOX 1535  CLIFTON, AZ 85533-1535 US
Tel: 928-865-2780  Fax: 928-865-3482

Registration Information:
NPI: 1538389465
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZ2541

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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