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1447410089
PUCKETT FAMILY DENTISTRY
BRANDON, MS
NPI
1447410089
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Entity Type
Organization
Authorized Contact
STEPHANIE TULLOS
Dentist/Owner
601-825-0559
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 326503)
Enumeration Date
2008-06-16
Last Update Date
2008-06-16
Business Address
PUCKETT FAMILY DENTISTRY
6181 HIGHWAY 18
BRANDON, MS 39042-0000
Phone number: 601-825-0559
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Mailing Address
PUCKETT FAMILY DENTISTRY
6181 HIGHWAY 18
BRANDON, MS 39042-0000
Phone number: 601-825-0559
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