Organization
WATER VALLEY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL ABRAHAM JR. DDS (MANAGER)
(601) 720-8194
Entity
Organization
Contact information
Practice address
605 N MAIN ST, WATER VALLEY, MS 38965-2525
(662) 473-1133
(662) 510-0545
Mailing address
605 N MAIN ST, WATER VALLEY, MS 38965-2525
(662) 473-1133
(662) 510-0545
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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