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Individual

DR. JAMES THOMAS POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
11560 SAINT AUGUSTINE RD, SUITE 1, JACKSONVILLE, FL 32258-1425
(904) 268-6333
(904) 268-2286
Mailing address
11560 SAINT AUGUSTINE RD, SUITE 1, JACKSONVILLE, FL 32258-1425
(904) 268-6333
(904) 268-2286

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009699
FL

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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