Organization
POWELL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA IRENE POWELL DDS (LISA IRENE POWELL, AS MEMBER)
(734) 649-1800
Entity
Organization
Contact information
Practice address
19865 ALLEN RD, BROWNSTOWN TWP., MI 48183
(734) 479-2200
(734) 479-2202
Mailing address
19865 ALLEN RD, BROWNSTOWN TWP., MI 48183
(734) 479-2200
(734) 479-2202
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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