MAIN STREET FAMILY DENTISTRY PA

TUPELO, MS
NPI1376623074
Entity TypeOrganization
Authorized ContactBRETT M HILDENBRAND
President
662-840-0066
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  267792)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MS  324002)
Enumeration Date2006-10-17
Last Update Date2015-06-02
Business Address
MAIN STREET FAMILY DENTISTRY PA
627 WEST MAIN ST
TUPELO, MS 38804
Phone number: 662-840-0066
Mailing Address
MAIN STREET FAMILY DENTISTRY PA
627 WEST MAIN ST
TUPELO, MS 38804
Phone number: 662-840-0066