| NPI | 1699209890 |
|---|---|
| Former Legal Business Name | RICHARD L OWENS |
| Entity Type | Organization |
| Authorized Contact | RICHARD L OWENS Owner 985-764-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 3633) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-15 |