Provider Demographics
NPI:1174860753
Name:OWENS, YANIRA (RDH)
Entity type:Individual
Prefix:MRS
First Name:YANIRA
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18525 E SMOKY HILL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-3108
Mailing Address - Country:US
Mailing Address - Phone:303-617-9090
Mailing Address - Fax:
Practice Address - Street 1:18525 E SMOKY HILL RD
Practice Address - Street 2:SUITE D
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-3108
Practice Address - Country:US
Practice Address - Phone:303-617-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO904989124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist