MAIN STREET DENTAL

SOUTHAVEN, MS
NPI1043557085
Entity TypeOrganization
Authorized ContactJARAD BRADDY
Member
662-393-0781
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  3341-05)
Enumeration Date2013-01-10
Last Update Date2016-01-28
Business Address
MAIN STREET DENTAL
8747 NORTHWEST DR
SOUTHAVEN, MS 38671-2409
Phone number: 662-393-0781
Mailing Address
MAIN STREET DENTAL
8747 NORTHWEST DR
SOUTHAVEN, MS 38671-2409
Phone number: 662-393-0781
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