Organization
FRED T. POWERS JR., DMD, INC
Active
Other names
Powers Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN R POWERS (OWNER/OFFICE MANAGER)
(951) 301-6100
Entity
Organization
Contact information
Practice address
27701 SCOTT RD, D-107, MENIFEE, CA 92584-9417
(951) 301-6100
Mailing address
27701 SCOTT RD, D-107, MENIFEE, CA 92584-9417
(951) 301-6100
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
33356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013058551
DEACTIVATED NPI DUE TO DEATH OF HEALTH CARE PROVIDER
CA
Enumeration date
07/16/2015
Last updated
07/16/2015
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