Individual
EDWARD L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1522 S NEW RD, WACO, TX 76711-1316
(254) 741-9324
Mailing address
1522 S NEW RD, WACO, TX 76711-1316
(254) 741-9324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8992
TX
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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