Individual
DR. CHARLES ANTHONY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
13065 E 17TH AVE RM 130K, MAIL STOP F847, AURORA, CO 80045-2532
(303) 724-6424
Mailing address
13065 E 17TH AVE RM 130K, MAIL STOP F847, AURORA, CO 80045-2532
(303) 724-6424
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
105811
CO
1223P0300X
Periodontics
1071
AK
Other
Enumeration date
02/15/2006
Last updated
06/12/2012
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