Organization
KINCAID DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATARSHA ARRINGTON (MANAGER)
(601) 720-2507
Entity
Organization
Contact information
Practice address
2655 LAKELAND DR, FLOWOOD, MS 39232-9516
(601) 720-2507
Mailing address
PO BOX 2672, MADISON, MS 39130-2672
(601) 720-2507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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