Individual
DAUDRIE-ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1510 UNIONPORT RD, APT 1D, BRONX, NY 10462-7853
(202) 702-1054
Mailing address
1510 UNIONPORT RD, APT 1D, BRONX, NY 10462-7853
(202) 702-1054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50057125
NY
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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