Organization
POWELL FAMILY DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD POWELL D.D.S. (DENTIST)
(651) 501-1878
Entity
Organization
Contact information
Practice address
9900 VALLEY CREEK RD, SUITE 110, WOODBURY, MN 55125-4881
(651) 501-1878
(651) 501-1698
Mailing address
9900 VALLEY CREEK RD, SUITE 110, WOODBURY, MN 55125-4881
(651) 501-1878
(651) 501-1698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MN
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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