Individual
DANIELLE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6336 BANDERA RD, SAN ANTONIO, TX 78238-1604
(210) 681-5555
(210) 681-7121
Mailing address
6336 BANDERA RD, SAN ANTONIO, TX 78238-1604
(210) 681-5555
(210) 681-7121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24112
TX
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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