Provider Demographics
NPI:1558573931
Name:POWER, DAWN Z
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:Z
Last Name:POWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 E ALMOND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5694
Mailing Address - Country:US
Mailing Address - Phone:559-676-3262
Mailing Address - Fax:
Practice Address - Street 1:950 E ALMOND AVE STE 102
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5694
Practice Address - Country:US
Practice Address - Phone:559-676-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice