Organization
BATESVILLE DENTAL CLINIC
Active
Parent organization
BATESVILLE DENTAL CLINIC
Other names
Lea Andy Garrott, DMD
Organization subpart
Yes
Provider details
NPI number
Legal business name
BATESVILLE DENTAL CLINIC
Authorized official
MRS. REBECCA J OWEN (INSURANCE SECRETARY)
(662) 563-7644
Entity
Organization
Contact information
Practice address
113 EUREKA ST, BATESVILLE, MS 38606-2534
(662) 563-7644
(662) 563-0453
Mailing address
113 EUREKA ST, BATESVILLE, MS 38606-2534
(662) 563-7644
(662) 563-0453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1968-82
MS
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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