Mark Lm Powell DDS Msd PC

NPI #1437899333 in Jenison, Michigan

Provider Information

NPI Number
1437899333
Entity Type
Organization
Organization Name
Mark Lm Powell DDS Msd PC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Mar 30, 2022
Last Updated
Mar 30, 2022

Practice Location

Address
2076 BALDWIN ST
ZIP Code
49428-8772
Phone
(616) 457-5866

Authorized Official

Name
DR. BREANNA CHEW, DDS, MS
Title
ORTHODONTIST
Phone
(616) 457-5866

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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