Organization
DE SOTO SMILES FAMILY DENTISTRY
Active
Other names
Charles E. Harbison DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GEORGE KAKALES DDS (DENTIST)
(662) 943-2351
Entity
Organization
Contact information
Practice address
730 GOODMAN ROAD EAST, SUITE A, SOUTHAVEN, MS 38671-9530
(662) 349-2351
(662) 349-2416
Mailing address
730 GOODMAN ROAD EAST, SUITE A, SOUTHAVEN, MS 38671-9530
(662) 349-2351
(662) 349-2416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
12/13/2018
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