| Mark Lm Powell Dds Msd Pc | |
|
2076 Baldwin St Jenison MI 49428-8772 | |
| (616) 457-5866 | |
| Not Available |
| Full Name | Mark Lm Powell Dds Msd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2076 Baldwin St, Jenison, Michigan |
| Authorized Official Name and Position | Breanna Chew (ORTHODONTIST) |
| Authorized Official Contact | 6164575866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Lm Powell Dds Msd Pc 2076 Baldwin St Jenison MI 49428-8772 Ph: () - | Mark Lm Powell Dds Msd Pc 2076 Baldwin St Jenison MI 49428-8772 Ph: (616) 457-5866 |
| NPI Number | 1437899333 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437899333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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