Individual
MARIA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
800 E MERRITT ISLAND CSWY, MERRITT ISLAND, FL 32952-3514
(321) 453-8882
Mailing address
800 E MERRITT ISLAND CSWY, MERRITT ISLAND, FL 32952-3514
(321) 505-8869
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH26321
FL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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