Organization
PURE SMILES BILOXI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN MICHELLE BOLTON-GILICH DMD (DENTIST/OWNER)
(228) 374-5334
Entity
Organization
Contact information
Practice address
1764 PASS RD, BILOXI, MS 39531-3339
(228) 374-5334
Mailing address
1764 PASS RD, BILOXI, MS 39531-3339
(228) 374-5334
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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