NPI | 1699211516 |
---|---|
Doing Business As | EAST RANKIN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CHANDLER PLEASANT Owner 601-672-6371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3654-12) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3660-12) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-17 |