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Organization
MILLING PEDIATRIC DENTISTRY PLLC
Active
Organization
MILLING PEDIATRIC DENTISTRY PLLC
Active
Other names
Milling Pediatric Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BELL (OM)
(601) 982-8585
Entity
Organization
Contact information
Practice address
1855 CRANE RIDGE DR STE B, JACKSON, MS 39216-4944
(601) 982-8585
Mailing address
1855 CRANE RIDGE DR STE B, JACKSON, MS 39216-4944
(601) 982-8585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04122042
—
MS
Enumeration date
01/25/2022
Last updated
11/29/2022
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