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Organization
POWELL DENTAL CARE
Active
Organization
POWELL DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENA D MOORE D.D.S (DENTIST)
(280) 302-6284
Entity
Organization
Contact information
Practice address
3681 HIGHWAY 6, SUGAR LAND, TX 77478-4403
(281) 302-6284
(281) 302-6213
Mailing address
3681 HIGHWAY 6, SUGAR LAND, TX 77478-4403
(281) 302-6284
(281) 302-6213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16297
TX
261QD0000X
Dental Clinic/Center
22996
TX
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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