Individual
DR. LAUREN JILL POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17 5 WEST ROAD, ELLINGTON, CT 06029
(860) 872-2452
Mailing address
164 CARRIAGE DR, SOUTH WINDSOR, CT 06074-2104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CT010468
CT
122300000X
Dentist
DN1855088
MA
1223D0001X
Public Health Dentistry
1223G0001X
CT
Other
Enumeration date
04/30/2009
Last updated
03/27/2013
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