Organization
CHOICES FOR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE AUSTIN (CEO)
(225) 261-6314
Entity
Organization
Contact information
Practice address
2941 TERRY RD STE 16, JACKSON, MS 39212-3072
(601) 372-0066
(601) 371-6931
Mailing address
2941 TERRY RD STE 16, JACKSON, MS 39212-3072
(601) 372-0066
(601) 371-6931
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
04/01/2010
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