Organization
SIWELL ROAD DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY TOUPS (COO)
(601) 271-8710
Entity
Organization
Contact information
Practice address
7278 S SIWELL RD, BYRAM, MS 39272-8703
(601) 271-8710
Mailing address
4358 LINCOLN ROAD EXT STE 20, HATTIESBURG, MS 39402-3275
(601) 271-8710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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