Individual
DR. ELIZABETH A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(617) 825-9660
(215) 573-4090
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044464
PA
1223G0001X
General Practice Dentistry
DN1856838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113008A
—
MA
Enumeration date
05/07/2008
Last updated
07/17/2024
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