Organization
CHILDRENS DENTAL CENTER HERNANDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN L RHOADS DMD (OWNER)
(901) 258-9275
Entity
Organization
Contact information
Practice address
1150 MONTEITH AVE STE 102, HERNANDO, MS 38632-8157
(662) 298-2105
(205) 419-9104
Mailing address
1150 MONTEITH AVE STE 102, HERNANDO, MS 38632-8157
(662) 298-2105
(205) 419-9104
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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