| Olive Branch Dental Care Pa | |
|
8935 Goodman Rd Olive Branch MS 38654-2201 | |
| (662) 895-5012 | |
| Not Available |
| Full Name | Olive Branch Dental Care Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8935 Goodman Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Denise Renee Calloway (OFFICE MANAGER) |
| Authorized Official Contact | 6628955012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Dental Care Pa 8935 Goodman Rd Olive Branch MS 38654-2201 Ph: (662) 895-5012 | Olive Branch Dental Care Pa 8935 Goodman Rd Olive Branch MS 38654-2201 Ph: (662) 895-5012 |
| NPI Number | 1780903427 |
|---|---|
| Provider Enumeration Date | 05/20/2010 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780903427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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