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1265779052
GRANTS FERRY FAMILY DENTISTRY
BRANDON, MS
NPI
1265779052
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Entity Type
Organization
Authorized Contact
CARLA RUSHING
Owner
601-992-1605
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: MS 3276-03)
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
GRANTS FERRY FAMILY DENTISTRY
1075 LAKE VILLAGE CIR
BRANDON, MS 39047-6743
Phone number: 601-992-1605
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Mailing Address
GRANTS FERRY FAMILY DENTISTRY
1075 LAKE VILLAGE CIR
BRANDON, MS 39047-6743
Phone number: 601-992-1605
Copy
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