Organization
MALLORY COMMUNITY HEALTH
Active
Other names
Mallory Community Health Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA MABRY (BUSINESS MANAGER)
(662) 834-0746
Entity
Organization
Contact information
Practice address
300 YAZOO ST, LEXINGTON, MS 39095-3623
(662) 834-5000
(662) 834-5003
Mailing address
PO BOX 479, LEXINGTON, MS 39095-0479
(662) 834-1857
(662) 834-1859
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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