Provider Demographics
NPI:1760523922
Name:MACDOWELL, MANA OGAWA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANA
Middle Name:OGAWA
Last Name:MACDOWELL
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 1:1046 N VENTURA RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3855
Mailing Address - Country:US
Mailing Address - Phone:805-983-0317
Mailing Address - Fax:
Practice Address - Street 1:1046 N VENTURA RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3855
Practice Address - Country:US
Practice Address - Phone:805-983-0317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA488311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice