Organization
BRENT DAVID POWELL DMD INC
Active
Other names
Powell Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT DAVID POWELL DMD (OWNER)
(558) 299-3949
Entity
Organization
Contact information
Practice address
7005 N CHESTNUT AVE, SUITE 101, FRESNO, CA 93720-0348
(559) 299-3949
(559) 299-7880
Mailing address
7005 N CHESTNUT AVE, SUITE 101, FRESNO, CA 93720-0348
(559) 299-3949
(559) 299-7880
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56148
CA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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