Organization
DELTA CORNER PROPERTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANTHEA MANGUM (COO)
(601) 271-8710
Entity
Organization
Contact information
Practice address
201 W SUNFLOWER RD, CLEVELAND, MS 38732-2637
(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
06/15/2020
Last updated
06/15/2020
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