GRANTS FERRY FAMILY DENTISTRY

BRANDON, MS
NPI1265779052
Entity TypeOrganization
Authorized ContactCARLA RUSHING
Owner
601-992-1605
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MS  3276-03)
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
GRANTS FERRY FAMILY DENTISTRY
1075 LAKE VILLAGE CIR
BRANDON, MS 39047-6743
Phone number: 601-992-1605
Mailing Address
GRANTS FERRY FAMILY DENTISTRY
1075 LAKE VILLAGE CIR
BRANDON, MS 39047-6743
Phone number: 601-992-1605