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1154540227
MARTY MARION POWELL
DETROIT, MI
NPI
1154540227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 14298)
Enumeration Date
2007-04-25
Last Update Date
2016-01-13
Business Address
Dr. MARTY MARION POWELL DDS
14356 E JEFFERSON AVE
DETROIT, MI 48215-2932
Phone number: 313-824-9890
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Mailing Address
Dr. MARTY MARION POWELL DDS
5230 GRIGGS RD
HOUSTON, TX 77021-3760
Phone number: 313-657-5436
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