Individual
DR. DOUGLAS KENT POWELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7651 ASHLEY PARK CT, SUITE #406, ORLANDO, FL 32835-6114
(407) 294-3300
Mailing address
7651 ASHLEY PARK CT, SUITE #406, ORLANDO, FL 32835-6114
(407) 294-3300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0011672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074705000
—
FL
Enumeration date
03/21/2007
Last updated
03/25/2015
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