Powell Family Dentistry Inc.

NPI #1730488255 in Woodbury, Minnesota

Provider Information

NPI Number: 1730488255
Entity Type: Organization
Organization Name: Powell Family Dentistry Inc.
Primary Specialty: Dentist
Enumeration Date: Mar 23, 2011
Last Updated: Mar 23, 2011

Practice Location

Address: 9900 VALLEY CREEK RD
Address 2: SUITE 110
City: Woodbury
State: Minnesota
ZIP Code: 55125-4881
Phone: (651) 501-1878

Authorized Official

Name: RICHARD POWELL, D.D.S.
Title: DENTIST
Phone: (651) 501-1878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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