Organization
NORTH SUNFLOWER MEDICAL CENTER
Active
Other names
Sunflower Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATT NORRIS (ADMINISTRATIVE ASSISTANT)
(662) 756-1701
Entity
Organization
Contact information
Practice address
102 N RUBY AVE, RULEVILLE, MS 38771-3940
(662) 756-1701
Mailing address
PO BOX 547, RULEVILLE, MS 38771-0547
(662) 756-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11-168
MS
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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