Powell Family Dentistry Inc. | |
9900 Valley Creek Rd Suite 110 Woodbury MN 55125-4881 | |
(651) 501-1878 | |
(651) 501-1698 |
Full Name | Powell Family Dentistry Inc. |
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Speciality | Dentist |
Location | 9900 Valley Creek Rd, Woodbury, Minnesota |
Authorized Official Name and Position | Richard Powell (DENTIST) |
Authorized Official Contact | 6515011878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Powell Family Dentistry Inc. 9900 Valley Creek Rd Suite 110 Woodbury MN 55125-4881 Ph: (651) 501-1878 | Powell Family Dentistry Inc. 9900 Valley Creek Rd Suite 110 Woodbury MN 55125-4881 Ph: (651) 501-1878 |
NPI Number | 1730488255 |
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Provider Enumeration Date | 03/23/2011 |
Last Update Date | 03/23/2011 |
Identifier | Type | State | Issuer |
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1730488255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Minnesota) | Primary |
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