Organization
THE SMILE CENTER OF CLARKSDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MITCHELL PRESLEY R.D.H. (CEO)
(662) 226-1865
Entity
Organization
Contact information
Practice address
526 CHOCTAW STREET, SUITES B & C, CLARKSDALE, MS 38614
(662) 226-1865
Mailing address
PO BOX 1199, GRENADA, MS 38902-1199
(662) 226-1865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
336906
MS
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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