Organization
CRADDOCK AND MALLEY DENTAL PLLC
Active
Other names
Richland Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WILLIAMSON (OFFICE MANAGER)
(601) 932-5100
Entity
Organization
Contact information
Practice address
125 W HARPER ST, RICHLAND, MS 39218-4406
(601) 932-5100
Mailing address
125 W HARPER ST, RICHLAND, MS 39218-4406
(601) 932-5100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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