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Organization

DREAM TEAM FAMILY DENTISTRY, PLLC

Active
Other names
Dream Team Family Dentistry, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENIS F SIFFRARD DDS (OWNER)
(662) 470-4621
Entity
Organization

Contact information

Practice address
6760 GOODMAN RD, OLIVE BRANCH, MS 38654
(662) 470-4621
(662) 470-4621
Mailing address
6760 GOODMAN RD, OLIVE BRANCH, MS 38654-7056
(662) 470-4621
(662) 470-4621

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3489-08
MS

Other

Enumeration date
02/23/2009
Last updated
02/23/2009
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