Organization
PAMELA A. POWELL, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA A. POWELL DMD (OWNER/PRESIDENT)
(208) 344-2593
Entity
Organization
Contact information
Practice address
120 N 23RD ST, BOISE, ID 83702-4940
(208) 344-2593
(208) 344-5208
Mailing address
120 N 23RD ST, BOISE, ID 83702-4940
(208) 344-2593
(208) 344-5208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1819
ID
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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