Organization
GERMANY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DUANE GERMANY (DENTIST/OWNER)
(601) 824-2280
Entity
Organization
Contact information
Practice address
2004 COURTSIDE DR, BRANDON, MS 39042-3212
(601) 824-2280
Mailing address
2004 COURTSIDE DR, BRANDON, MS 39042-3212
(601) 824-2280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3269-03
MS
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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