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1033384466
BRENT DAVID POWELL
CLOVIS, CA
NPI
1033384466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 56148)
Enumeration Date
2008-04-27
Last Update Date
2008-04-27
Business Address
Dr. BRENT DAVID POWELL DMD
5656 E LEBANON AVE
CLOVIS, CA 93619-9519
Phone number: 216-543-5178
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Mailing Address
Dr. BRENT DAVID POWELL DMD
5656 E LEBANON AVE
CLOVIS, CA 93619-9519
Phone number: 216-543-5178
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