Individual
DR. LAURENA MOORE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14356 E JEFFERSON AVE, DETROIT, MI 48215-2932
(313) 824-9890
(313) 824-9894
Mailing address
20103 ROSE FAIR CT, KATY, TX 77450-5253
(313) 824-9890
(313) 824-9894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18029
MI
Other
Enumeration date
04/18/2007
Last updated
01/12/2016
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