Organization
WARE FAMILY DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA WARE D.D.S. (OWNER/OPERATOR)
(662) 226-1865
Entity
Organization
Contact information
Practice address
2376 SUNSET DR, GRENADA, MS 38901-2827
(662) 226-1865
(662) 226-1845
Mailing address
2376 SUNSET DR, GRENADA, MS 38901-2827
(662) 226-1865
(662) 226-1845
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
336906
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08557260
—
MS
05
—
09304801
—
MS
Enumeration date
07/10/2008
Last updated
04/03/2026
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