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Organization
MALLORY COMMUNITY HEALTH
Active
Organization
MALLORY COMMUNITY HEALTH
Active
Other names
Mallory Community Health Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA MABRY (BUSINESS MANAGER)
(662) 834-0746
Entity
Organization
Contact information
Practice address
300 YAZOO ST, LEXINGTON, MS 39095-3623
(662) 834-5000
(662) 834-5003
Mailing address
PO BOX 479, LEXINGTON, MS 39095-0479
(662) 834-1857
(662) 834-1859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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