Organization
MARTY M. POWELL DDS PC
Active
Other names
Powell Dental Association
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY M POWELL D.D.S. (OWNER)
(313) 824-9890
Entity
Organization
Contact information
Practice address
14356 E JEFFERSON AVE, DETROIT, MI 48215-2932
(313) 824-9890
(313) 824-9894
Mailing address
14356 E JEFFERSON AVE, DETROIT, MI 48215-2932
(313) 824-9890
(313) 824-9894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14298
MI
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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