Individual
LELAND V. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2682 ANNA CAROLINE DR, WEST VALLEY CITY, UT 84128-5003
(801) 974-5437
(801) 964-9003
Mailing address
2682 ANNA CAROLINE DR, WEST VALLEY CITY, UT 84128-5003
(801) 974-5437
(801) 964-9003
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
47483969923
UT
Other
Enumeration date
03/21/2007
Last updated
02/17/2017
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