Grant Aloysius Powderly, DDS

NPI #1700627973 in Union, Missouri

Provider Information

NPI Number
1700627973
Entity Type
Individual
Name
Grant Aloysius Powderly, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 3, 2024
Last Updated
Jun 3, 2024

Practice Location

Address
1780 OLD HIGHWAY 50 E
City
Union
ZIP Code
63084-3219
Phone
(844) 853-8937

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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