Organization
PASCAGOULA FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY GLENN BRASWELL JR. DDS (OWNER)
(601) 584-9481
Entity
Organization
Contact information
Practice address
3613-A HOSPITAL RD, PASCAGOULA, MS 39581
(228) 769-1244
Mailing address
139 S MAIN ST, PETAL, MS 39465-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
04/06/2023
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