Dr. John M Owen IV
Dentist, General Practice in Seattle, WA. Individual provider (NPI-1).
NPI number1699190835
StatusActive
Last updated in NPPESJan 5, 2016
Details
- NPI
- 1699190835
- Entity type
- Individual (NPI-1)
- Name
- Dr. John M Owen IV
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2014
- Last updated
- Jan 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401414797 | VA | Yes |
Practice location
4915 25th Ave NeSuite 205
Seattle, WA 98105-5667
Phone 206-524-1600
Mailing address
167 W Main StBedford, VA 24523-1950
Phone 540-330-9769
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