Organization
DESOTO FAMILY DENTAL CARE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY S SEYMOUR (SECRETARY)
(662) 429-5239
Entity
Organization
Contact information
Practice address
460 BYHALIA RD, HERNANDO, MS 38632-1319
(662) 429-5239
(662) 449-0758
Mailing address
460 BYHALIA RD, HERNANDO, MS 38632-1319
(662) 429-5239
(662) 449-0758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1472-71
MS
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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