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1497009922
GLUCKSTADT FAMILY DENTISTRY, PA
MADISON, MS
NPI
1497009922
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Entity Type
Organization
Authorized Contact
ROBERT JEREMIAH HAUPTMAN
Owner
601-790-9245
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 3581-11)
Enumeration Date
2012-11-06
Last Update Date
2012-11-06
Business Address
GLUCKSTADT FAMILY DENTISTRY, PA
1716 HIGHWAY 51 STE G
MADISON, MS 39110-5020
Phone number: 601-790-9245
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Mailing Address
GLUCKSTADT FAMILY DENTISTRY, PA
1716 HIGHWAY 51 STE G
MADISON, MS 39110-5020
Phone number: 601-790-9245
Copy
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