Organization
CLINTON DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARION CLAYTON GRUBBS DMD (PRESIDENT)
(601) 488-4086
Entity
Organization
Contact information
Practice address
736 CLINTON PKWY, CLINTON, MS 39056
(601) 488-4086
(601) 708-4081
Mailing address
736 CLINTON PKWY, CLINTON, MS 39056
(601) 488-4086
(601) 708-4081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
328404
MS
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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