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Organization

UPTOWN DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE CREWS DMD (DENTIST/OWNER)
(769) 257-0399
Entity
Organization

Contact information

Practice address
141 TOWNSHIP AVE, SUITE 111, RIDGELAND, MS 39157-8694
(769) 257-0399
Mailing address
141 TOWNSHIP AVE, SUITE 111, RIDGELAND, MS 39157-8694

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
331104
MS

Other

Enumeration date
01/16/2015
Last updated
11/07/2024
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