Organization
PEACEFUL SLUMBER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN GRAY DMD (OWNER)
(662) 328-3833
Entity
Organization
Contact information
Practice address
323 HOSPITAL DR, COLUMBUS, MS 39705-1920
(662) 323-3833
(662) 328-3275
Mailing address
323 HOSPITAL DR, COLUMBUS, MS 39705-1920
(662) 323-3833
(662) 328-3275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3039-98
MS
332BC3200X
Customized Equipment (DME)
Primary
3039-98
MS
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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