Individual
TYLER SCOTT POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19865 ALLEN RD, BROWNSTOWN TWP, MI 48183-1071
(734) 649-3134
Mailing address
19865 ALLEN RD, BROWNSTOWN TWP, MI 48183-1071
(734) 479-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601392
MI
Other
Enumeration date
05/17/2022
Last updated
06/11/2023
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