Organization
CHOICES FOR DENTAL
Active
Parent organization
CHOICES FOR DENTAL
Other names
Choices for Dental Mobile Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOICES FOR DENTAL
Authorized official
MRS. ANNETTE AUSTIN (CEO)
(225) 261-6314
Entity
Organization
Contact information
Practice address
2941 TERRY RD STE 22, JACKSON, MS 39212-3072
(601) 373-0566
Mailing address
2941 TERRY RD STE 22, JACKSON, MS 39212-3072
(601) 373-0566
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
04/01/2010
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