Organization
COMMUNITY DENTAL CARE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY S SEYMOUR (SECRETARY)
(662) 449-3994
Entity
Organization
Contact information
Practice address
165 W SOUTH ST, HERNANDO, MS 38632-2269
(662) 449-3994
Mailing address
165 W SOUTH ST, HERNANDO, MS 38632-2269
(662) 449-3994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1821-78
MS
Other
Enumeration date
04/19/2007
Last updated
12/30/2009
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