Individual
DR. LISA MARIE POWESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-7473
Mailing address
305 W 12TH AVE, P.O. BOX 182357, COLUMBUS, OH 43210-1267
(614) 292-7473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022792
OH
Other
Enumeration date
05/27/2008
Last updated
07/19/2012
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