Individual
DR. CHRISTOPHER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1750 GRAND RIDGE CT NE STE 202, GRAND RAPIDS, MI 49525
(616) 988-9485
Mailing address
1750 GRAND RIDGE CT NE STE 202, GRAND RAPIDS, MI 49525-7043
(616) 988-9485
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901022131
MI
Other
Enumeration date
03/14/2016
Last updated
10/22/2018
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