Organization
MARK LM POWELL DDS MSD PC
Active
Other names
Powell Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BREANNA CHEW DDS, MS (ORTHODONTIST)
(616) 457-5866
Entity
Organization
Contact information
Practice address
2076 BALDWIN ST, JENISON, MI 49428-8772
(616) 457-5866
Mailing address
2076 BALDWIN ST, JENISON, MI 49428-8772
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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