Organization
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Other names
Picayune Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Authorized official
KIM ZUBER (CRED SUP)
(217) 540-5170
Entity
Organization
Contact information
Practice address
200 NORWOOD ST, PICAYUNE, MS 39466-3933
(601) 798-8207
Mailing address
200 NORWOOD ST, PICAYUNE, MS 39466-3933
(601) 798-8207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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