Organization
NASH FAMILY DENTISTRY, INC
Active
Other names
Nash Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DAVID NASH DDS (PRESIDENT)
(601) 634-1812
Entity
Organization
Contact information
Practice address
1201 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 634-1812
(601) 630-9559
Mailing address
1201 MISSION PARK DR, VICKSBURG, MS 39180-3747
(601) 634-1812
(601) 630-9559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2354
MS
Other
Enumeration date
10/03/2006
Last updated
06/19/2012
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