Individual
DR. MARK LAMARR POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
2076 BALDWIN DR, JENISON, MI 49428
(616) 457-5866
(616) 457-2195
Mailing address
2076 BALDWIN DR, JENISON, MI 49428
(616) 457-5866
(616) 457-2195
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901014636
MI
Other
Enumeration date
08/15/2006
Last updated
01/06/2022
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