Organization
OXFORD FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY LAKE GARNER DMD (OWNER)
(601) 271-8710
Entity
Organization
Contact information
Practice address
2162 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-1969
Mailing address
4358 LINCOLN ROAD EXT STE 20, HATTIESBURG, MS 39402-3275
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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