Individual
BRANDON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Mailing address
324 22ND AVE N, NASHVILLE, TN 37203-1842
(615) 329-4401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11055
TN
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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