Organization
NEELY DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA NEELY OVERSTREET DMD (DENTIST)
(601) 849-3636
Entity
Organization
Contact information
Practice address
600 4TH ST SW, MAGEE, MS 39111-3929
(601) 849-3636
(601) 849-2644
Mailing address
600 4TH ST SW, MAGEE, MS 39111-3929
(601) 849-3636
(601) 849-2644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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