Individual
DAVID POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4650 SUNSET, LOS ANGELES, CA 90027-6062
(323) 669-2130
(323) 667-2093
Mailing address
6430 SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7900
(323) 669-2337
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D19956
—
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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