Individual
EDDYE C POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
101 GLADIOLA ST, LAKE JACKSON, TX 77566-4702
(979) 236-6777
Mailing address
101 GLADIOLA ST, LAKE JACKSON, TX 77566-4702
(979) 266-7477
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12134
TX
Other
Enumeration date
09/20/2006
Last updated
08/14/2007
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