Individual
DAVID POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6065 FASHION BLVD STE 275, MURRAY, UT 84107-5441
(801) 266-1414
Mailing address
6065 FASHION BLVD STE 275, MURRAY, UT 84107-5441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
323045-9922
UT
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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