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Organization
POWELL AND ASSOCIATES DDS, PC
Active
Organization
POWELL AND ASSOCIATES DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMETTA E POWELL DDS (CEO)
(770) 319-9933
Entity
Organization
Contact information
Practice address
2800 SPRING ROAD, SUITE F-2, ATLANTA, GA 30339-3092
(770) 319-9933
Mailing address
2800 SPRING ROAD, SUITE F-2, ATLANTA, GA 30339-3092
(770) 319-9933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000309174B
—
GA
Enumeration date
04/30/2012
Last updated
04/30/2012
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