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1699358739
HERITAGE FAMILY DENTAL
QUITMAN, MS
NPI
1699358739
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Entity Type
Organization
Authorized Contact
KELLY MILLER
Credentialing Specialist
601-271-8710
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
HERITAGE FAMILY DENTAL
303 S ARCHUSA AVE # A
QUITMAN, MS 39355-2325
Phone number: 601-776-6630
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Mailing Address
HERITAGE FAMILY DENTAL
303 S ARCHUSA AVE # A
QUITMAN, MS 39355-2325
Phone number: 601-776-6630
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