| Powell Pediatric Dentistry Ingram Partnership | |
|
7761 N Ingram Ave Suite 101 Fresno CA 93711 | |
| (559) 431-9701 | |
| Not Available |
| Full Name | Powell Pediatric Dentistry Ingram Partnership |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7761 N Ingram Ave, Fresno, California |
| Authorized Official Name and Position | Brent David Powell (MANAGING PARTNER) |
| Authorized Official Contact | 5593211833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Pediatric Dentistry Ingram Partnership 7761 N Ingram Ave Suite #101 Fresno CA 93711 Ph: (559) 431-9701 | Powell Pediatric Dentistry Ingram Partnership 7761 N Ingram Ave Suite 101 Fresno CA 93711 Ph: (559) 431-9701 |
| NPI Number | 1346763158 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346763158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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