# CARY CHRISTIAN DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447512728
- **Authorized official:** DR. OLLIE HARDAWAY JR. (DENTIST)
- **Authorized official phone:** (601) 529-5196

## Contact information

- **Practice address:** 154 COTTONWOOD ST., CARY, MS 39054
- **Practice address phone:** (662) 873-4593
- **Mailing address:** PO BOX 57, CARY, MS 39054-0057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 1801-78 | MS | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012