Powell Dental PLLC
Voluntary or Charitable in Brownstown Twp., MI. Organization (NPI-2).
NPI number1760199178
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1760199178
- Entity type
- Organization (NPI-2)
- Legal business name
- Powell Dental PLLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2022
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251V00000X | Voluntary or Charitable | – | – | Yes |
Practice location
19865 Allen RdBrownstown Twp., MI 48183
Phone 734-479-2200 · Fax 734-479-2202
Mailing address
19865 Allen RdBrownstown Twp., MI 48183
Phone 734-479-2200 · Fax 734-479-2202
Authorized official
Lisa Irene Powell
Lisa Irene Powell, As Member
7346491800
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