Organization
THOMAS LOBRANO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY D MCKEY (RECPT.)
(601) 645-5388
Entity
Organization
Contact information
Practice address
260 E MAIN ST, CENTREVILLE, MS 39631-4200
(601) 645-5388
(601) 645-9187
Mailing address
260 E MAIN ST, CENTREVILLE, MS 39631-4200
(601) 645-5388
(601) 645-9187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
184279
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064701
—
MS
01
—
1679668768
INDIVIDUAL NPI #
MS
Enumeration date
12/03/2010
Last updated
12/03/2010
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