Individual
DR. NATHAN DANIEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3104 NW 23RD ST, OKLAHOMA CITY, OK 73107-1902
(405) 949-0123
Mailing address
11316 BENTTREE CIR, OKLAHOMA CITY, OK 73120-6629
(918) 808-0538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6508
OK
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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