Individual
DR. DUSTIN PAMBIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
302 COURT SQ, LEXINGTON, MS 39095-3630
(662) 834-9899
Mailing address
302 COURT SQ, LEXINGTON, MS 39095-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3741-14
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05436359
—
MS
Enumeration date
05/22/2014
Last updated
09/29/2015
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