Organization
SALLY C POWELL DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY C POWELL DDS (PRESIDENT)
(573) 474-8566
Entity
Organization
Contact information
Practice address
1627 TOWNE DR, COLUMBIA, MO 65202-2339
(573) 474-8566
Mailing address
1627 TOWNE DR, COLUMBIA, MO 65202-2339
(573) 474-8566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001012816
MO
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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