Individual
DR. MAKOM FOWE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
811 S BABCOCK ST, MELBOURNE, FL 32901-1890
(321) 729-0022
Mailing address
811 S BABCOCK ST, MELBOURNE, FL 32901-1890
(321) 729-0022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20490
FL
Other
Enumeration date
02/06/2014
Last updated
07/15/2014
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