Individual
DR. MARTY MARION POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14356 E JEFFERSON AVE, DETROIT, MI 48215-2932
(313) 824-9890
(313) 824-9894
Mailing address
5230 GRIGGS RD, HOUSTON, TX 77021-3760
(313) 657-5436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14298
MI
Other
Enumeration date
04/25/2007
Last updated
01/13/2016
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