Organization
ASPIRE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WHITE (BUSINESS MANAGER)
(662) 871-9797
Entity
Organization
Contact information
Practice address
3223 AUDUBON DR, LAUREL, MS 39440-1422
(601) 651-6790
Mailing address
730 COULTER DR, NEW ALBANY, MS 38652-2807
(662) 871-9797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/04/2020
Last updated
07/04/2020
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