RESERVOIR SMILES DENTISTRY, PLLC

BRANDON, MS
NPI1316458136
Entity TypeOrganization
Authorized ContactAMYE LEE SHAMBURGER
Owner
769-798-3909
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MS  3421)
Enumeration Date2017-10-19
Last Update Date2017-10-19
Business Address
RESERVOIR SMILES DENTISTRY, PLLC
1149 OLD FANNIN RD STE 26
BRANDON, MS 39047-9244
Phone number: 601-992-7972
Mailing Address
RESERVOIR SMILES DENTISTRY, PLLC
1149 OLD FANNIN RD STE 26
BRANDON, MS 39047-9244
Phone number: 601-992-7972
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