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Individual

DR. ELIZABETH MARY POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
4320 W 6TH ST STE 101, LAWRENCE, KS 66049-3613
(785) 856-5600
Mailing address
4320 W 6TH ST, SUITE 101, LAWRENCE, KS 66049
(402) 910-6964

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61354
KS
390200000X
Student in an Organized Health Care Education/Training Program
LDR150127
IN

Other

Enumeration date
06/22/2015
Last updated
01/11/2019
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