Powell Dental Practice, Plc

NPI #1255471157 in Winchester, Virginia

Provider Information

NPI Number
1255471157
Entity Type
Organization
Organization Name
Powell Dental Practice, Plc
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 8, 2007
Last Updated
Jan 20, 2010

Practice Location

Address
3034 VALLEY AVE
Address 2
SUITE 104
ZIP Code
22601-2670
Phone
(410) 695-5695

Authorized Official

Name
DR. JASON WILLIAM POWELL, D.D.S.
Title
OWNER
Phone
(410) 695-5695

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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