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1437667060
CAPITAL DENTAL INC
JACKSON, MS
NPI
1437667060
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Entity Type
Organization
Authorized Contact
M LEWIS GRUBBS
Owner/Dentist
601-362-2660
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-01-17
Last Update Date
2018-01-17
Business Address
CAPITAL DENTAL INC
1771 LELIA DR
JACKSON, MS 39216-4820
Phone number: 601-362-2660
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Mailing Address
CAPITAL DENTAL INC
1771 LELIA DR
JACKSON, MS 39216-4820
Phone number: 601-362-2660
Copy
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