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Organization

BRYANT HIRSBERG DMD, INC.

Active
Other names
Rebel Smiles Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CARIDE (CREDENTIALING)
(727) 784-2721
Entity
Organization

Contact information

Practice address
785 OHIO AVE STE 3H, CLARKSDALE, MS 38614-6215
(662) 627-9001
(662) 627-3662
Mailing address
785 OHIO AVE STE 3H, CLARKSDALE, MS 38614-6215
(662) 627-9001
(662) 627-3662

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
02/14/2011
Last updated
03/13/2025
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