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Organization

GAUTIER DENTAL CENTER P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM PARRISH DMD (PRESIDENT)
(228) 497-2351
Entity
Organization

Contact information

Practice address
713 HIGHWAY 90, GAUTIER, MS 39553-5609
(228) 497-2351
Mailing address
713 HIGHWAY 90, GAUTIER, MS 39553-5609
(228) 497-2351

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
256790
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
456789101112
GAUTIER DENTAL
Enumeration date
03/05/2008
Last updated
03/05/2008
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