| NPI | 1497068175 |
|---|---|
| Doing Business As | POWELL DENTAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | MARTY M POWELL Owner 313-824-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14298) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |