Organization
CENTRAL MISSISSIPPI OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J HAUPTMAN D.M.D. (PARTNER)
(601) 214-3041
Entity
Organization
Contact information
Practice address
2160 D NEWMAN RD, UTICA, MS 39175-9039
(601) 214-3041
Mailing address
2160 D NEWMAN RD, UTICA, MS 39175-9039
(601) 214-3041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3581-11
MS
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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