BROADWATER DENTAL

BILOXI, MS
NPI1386186278
Entity TypeOrganization
Authorized ContactCLIFFORD J COOK
Dentist
228-388-3353
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  MS3497-09)
Enumeration Date2016-11-09
Last Update Date2016-11-09
Business Address
BROADWATER DENTAL
2318 PASS RD STE 9
BILOXI, MS 39531-4044
Phone number: 228-388-3353
Mailing Address
BROADWATER DENTAL
2318 PASS ROAD STE 9
BILOXI, MS 39531
Phone number: 228-388-3353
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