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Organization
SARDIS FAMILY DENTAL CARE, LLC
Active
Organization
SARDIS FAMILY DENTAL CARE, LLC
Active
Other names
Sardis Family Dental Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA L ALLEN DMD (DENTIST)
(601) 790-1709
Entity
Organization
Contact information
Practice address
207 S POCAHONTAS STREET, SARDIS, MS 38666
(601) 790-1709
Mailing address
207 S POCAHONTAS STREET, SARDIS, MS 38666
(601) 790-1709
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1350584
MISSISSIPPI SECRETARY OF STATE BUSINESS ID
MS
Enumeration date
02/21/2023
Last updated
02/22/2023
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