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Individual

ROMETTA E POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2800 SPRING RD SE, SUITE F-2, ATLANTA, GA 30339-3092
(770) 319-9933
(770) 801-8377
Mailing address
2800 SPRING RD SE, SUITE F-2, ATLANTA, GA 30339-3092
(770) 319-9933
(770) 801-8377

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010164
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00309174B
GA
Enumeration date
09/20/2006
Last updated
07/08/2007
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