Individual
ANNE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6628 LAKE WORTH BLVD, SUITE 200, LAKE WORTH, TX 76135-3018
(817) 238-7984
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(817) 238-7984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22938
TX
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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