Organization
JAYA L DENTAL ARTS PLLC
Active
Other names
Advanced Dental and TMJ Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP ADATROW DDS (PRESIDENT)
(901) 606-2800
Entity
Organization
Contact information
Practice address
399 SOUTHCREST CT, SUITE C, SOUTHAVEN, MS 38671-4790
(901) 606-2800
Mailing address
399 SOUTHCREST CT, SUITE C, SOUTHAVEN, MS 38671-4790
(901) 606-2800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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