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1700193869
GREGORY J POWELL DMD PC
BRIDGETON, MO
NPI
1700193869
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Entity Type
Organization
Authorized Contact
GREGORY J POWELL
President
314-298-0727
Organization Subpart ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: MO 12148)
Enumeration Date
2010-09-09
Last Update Date
2010-09-09
Business Address
GREGORY J POWELL DMD PC
12255 DEPAUL DRIVE STE 885
BRIDGETON, MO 63044
Phone number: 314-298-0727
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Mailing Address
GREGORY J POWELL DMD PC
12255 DEPAUL DRIVE STE 885
BRIDGETON, MO 63044
Phone number:
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