Organization
PRESTIGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIANTI DENICE WOODFORK DDS (DENTIST/MEMBER)
(601) 533-0923
Entity
Organization
Contact information
Practice address
7138 S SIWELL ROAD, BYRAM, MS 39272
(601) 533-0923
(601) 351-5609
Mailing address
7138 S SIWELL ROAD, BYRAM, MS 39272
(601) 533-0923
(601) 351-5609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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