Provider Demographics
NPI:1558489286
Name:OWYANG, DEBORAH HELEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:HELEN
Last Name:OWYANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 ALHAMBRA BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6500
Mailing Address - Country:US
Mailing Address - Phone:916-454-2919
Mailing Address - Fax:
Practice Address - Street 1:1435 ALHAMBRA BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6500
Practice Address - Country:US
Practice Address - Phone:916-454-2919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice