ELLISVILLE STATE SCHOOL DENTAL

ELLISVILLE, MS
NPI1013085414
Entity TypeOrganization
Authorized ContactSUZIE LASSITER
Director Of Facility
601-477-9384
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  09013809)
Enumeration Date2006-12-01
Last Update Date2020-08-22
Business Address
ELLISVILLE STATE SCHOOL DENTAL
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437-4443
Phone number: 601-477-9384
Mailing Address
ELLISVILLE STATE SCHOOL DENTAL
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437-4443
Phone number: 601-477-9384
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