Organization
AUSTIN C. POWELL, D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN POWELL D.M.D. (MANAGER)
(205) 538-3335
Entity
Organization
Contact information
Practice address
1626 29TH CT S, HOMEWOOD, AL 35209-2442
(205) 538-3335
Mailing address
1626 29TH CT S, HOMEWOOD, AL 35209-2442
(205) 538-3335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5627
AL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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