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Organization
CMHP ENTERPRISES
Active
Organization
CMHP ENTERPRISES
Active
Other names
Children's Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H PERKINS DMD (PRINCIPAL)
(662) 513-4188
Entity
Organization
Contact information
Practice address
1420 WOODED DRIVE, GRENADA, MS 38901
(662) 513-4188
(662) 513-4180
Mailing address
1420 WOODED DRIVE, GRENADA, MS 38901
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3306-04
MS
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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