Children's Dental Center | |
1420 Wooded Drive Grenada MS 38901 | |
(662) 513-4188 | |
(662) 513-4180 |
Full Name | Children's Dental Center |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1420 Wooded Drive, Grenada, Mississippi |
Authorized Official Name and Position | Charles H Perkins (PRINCIPAL) |
Authorized Official Contact | 6625134188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children's Dental Center 1420 Wooded Drive Grenada MS 38901 Ph: () - | Children's Dental Center 1420 Wooded Drive Grenada MS 38901 Ph: (662) 513-4188 |
NPI Number | 1114359866 |
---|---|
Provider Enumeration Date | 08/05/2013 |
Last Update Date | 08/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114359866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 3306-04 (Mississippi) | Primary |
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