| Powell Family Dentistry Inc. | |
|
9900 Valley Creek Rd Suite 110 Woodbury MN 55125-4881 | |
| (651) 501-1878 | |
| (651) 501-1698 |
| Full Name | Powell Family Dentistry Inc. |
|---|---|
| Speciality | Dentist |
| Location | 9900 Valley Creek Rd, Woodbury, Minnesota |
| Authorized Official Name and Position | Richard Powell (DENTIST) |
| Authorized Official Contact | 6515011878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powell Family Dentistry Inc. 9900 Valley Creek Rd Suite 110 Woodbury MN 55125-4881 Ph: (651) 501-1878 | Powell Family Dentistry Inc. 9900 Valley Creek Rd Suite 110 Woodbury MN 55125-4881 Ph: (651) 501-1878 |
| NPI Number | 1730488255 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730488255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Minnesota) | Primary |
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