DR. Russell Powell, DDS

NPI #1154773869 in Caldwell, Idaho

Provider Information

NPI Number
1154773869
Entity Type
Individual
Name
DR. Russell Powell, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 6, 2016
Last Updated
Jul 6, 2016

Practice Location

Address
329 E LOGAN ST
State
Idaho
ZIP Code
83605-4863
Phone
(208) 459-3388

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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