Individual
MISS SAMANTHA LEIGH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
207 S POCAHONTAS ST, SARDIS, MS 38666-1625
(228) 342-6823
Mailing address
207 S POCAHONTAS STREET, SARDIS, MS 38666
(228) 342-6823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4320-22
MS
Other
Enumeration date
09/07/2022
Last updated
02/13/2023
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