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1245639319
REID MATTHEW OWENS
DESTREHAN, LA
NPI
1245639319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6513)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
Dr. REID MATTHEW OWENS D.D.S.
124 LONGVIEW DR SUITE 8
DESTREHAN, LA 70047-5077
Phone number: 985-764-1615
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Mailing Address
Dr. REID MATTHEW OWENS D.D.S.
124 LONGVIEW DR SUITE 8
DESTREHAN, LA 70047-5077
Phone number: 985-764-1615
Copy
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